SAMUEL JORDAN OLSON D.O.
NPI 1366974008
Psychiatry & Neurology - Psychiatry in Little Rock, AR
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Samuel Olson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Little Rock, AR 72205
- Reassigned Medicare billing, Arkansas enrollment
- 37 clinicians in this Medicare group
Little Rock, AR 72211
- Reassigned Medicare billing, Arkansas enrollment
- 34 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
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.
Where is Samuel Olson located?
Samuel Olson practices at 4301 W Markham St # 589, Little Rock, AR 72205. The listed phone number is (501) 526-8148.
What is Samuel Olson's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Samuel Olson enrolled in Medicare?
Yes. Samuel Olson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Samuel Olson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Olson reassigns Medicare benefits to 2 organizations: State Of Arkansas (Little Rock, AR) and Centers For Youth And Families, Inc. (Little Rock, AR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Olson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Olson accept?
Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Samuel Olson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 7 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.
# Samuel Jordan Olson, D.O. · NPI 1366974008
Psychiatry physician in Little Rock, Arkansas. Individual provider, active in the CMS NPPES registry since March 31, 2017.
## Identity
- **NPI:** 1366974008 (Entity type: Individual)
- **Enumerated:** March 31, 2017
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** E-11906 (Arkansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4301 W MARKHAM ST # 589, Little Rock, AR 72205-7101
- **Phone:** (501) 526-8148
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): State Of Arkansas (NPI 1891808630, Little Rock, AR); Centers For Youth And Families, Inc. (NPI 1174617526, Little Rock, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** October 7, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1366974008) · Data from the CMS NPPES public registry.