SAMUEL JORDAN OLSON D.O.
NPI 1366974008
Psychiatry & Neurology - Psychiatry in Little Rock, AR

Q: What is Samuel Olson's NPI number?

The NPI number for Samuel Olson is 1366974008. It was assigned to this individual provider in the NPPES registry on March 31, 2017.

Q: What is Samuel Olson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Olson was last updated on October 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 31, 2017PECOS EnrolledAccepts Medicare Assignment

4301 W MARKHAM ST # 589, LITTLE ROCK, AR 72205(501) 526-8148 Get Directions Write a Review

NPPES record last updated: October 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 7, 2019, Mar 31, 2017 (2 updates tracked since 2017).

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About Samuel Jordan Olson D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL JORDAN OLSON D.O. (NPI 1366974008) is an individual psychiatry provider in Little Rock, Arkansas, licensed in Arkansas (E-11906) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1366974008

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameSAMUEL JORDAN OLSONCredential: D.O.

Location Address4301 W MARKHAM ST # 589Little Rock, AR 72205-7101

Mailing Address4301 W Markham St # 589Little Rock, AR 72205-7101 · (501) 526-8148

Phone(501) 526-8148

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 31, 2017

Last NPPES UpdateOctober 7, 20192 updates tracked since enumeration

✔ NPI 1366974008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in AR · E-11906

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4301 W MARKHAM ST # 589, Little Rock, AR 72205

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samuel Jordan Olson D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547532244

PECOS Enrollment IDI20190807003933

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

30 services13 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

22 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$157.74 typical visit price

range $51.36 – $157.74

Typical copayment $39.43 (range $12.84 – $39.43)

Most-billed visit code 99205

Established Patient

$64.56 typical visit price

range $16.16 – $128.77

Typical copayment $16.14 (range $4.04 – $32.19)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRYSTAL TARRYN FULLEN PSYD

Clinical Neuropsychologist