1. Home
  2. Directory
  3. Minnesota
  4. St Louis Park
  5. Psychologist
  6. NPI Profile

DR. OLIVIA GRACE AXELSON PHD
NPI 1508462623
Psychologist - Clinical in St Louis Park, MN

Active since December 06, 2020PECOS EnrolledAccepts Medicare Assignment
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416(952) 993-3123(952) 993-3286 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 19, 2025, Jun 19, 2024, Dec 6, 2020 (3 updates tracked since 2020).

About Dr. Olivia Grace Axelson Phd NPPES

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

DR. OLIVIA GRACE AXELSON PHD (NPI 1508462623) is an individual clinical provider in St Louis Park, Minnesota, licensed in Minnesota (LP6628) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Minneapolis, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1508462623
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. OLIVIA GRACE AXELSONCredential: PHD
Location Address3800 PARK NICOLLET BLVDSt Louis Park, MN 55416-2527
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Phone(952) 993-3123
Fax(952) 993-3286
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 6, 2020
Last NPPES UpdateJune 19, 20253 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
✔ NPI 1508462623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · LP6628
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologistTaxonomy 103T00000X · License LP6628 (MN)
3800 PARK NICOLLET BLVD, St Louis Park, MN 55416
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Olivia Grace Larson Phd

Secondary Practice Location 1

Location 11 Veterans DrMinneapolis, MN 55417-2309 · Phone (612) 629-7247

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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

Dr. Olivia Grace Axelson Phd 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 ID2062956253
PECOS Enrollment IDI20240628001191
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.

Medicare Billing Reassignment

Medicare enrollment records show Olivia Axelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Park Nicollet Clinic
Same address
Family Medicine
3800 PARK NICOLLET BLVD
St Louis Park, MN 55416
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,527 clinicians in this Medicare group
NPI 1063897593 (952) 993-3123

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55416 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
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
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.

PETER MCCORMICK SCHAUB PSYD, LP
Psychologist
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3123
DAVID J NUTZ MD
Physical Medicine & Rehabilitation
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3800
GLENN MATFIN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3800 PARK NICOLLET BLVD
MINNEAPOLIS, MN 55416
Hennepin County (952) 993-3048
KELLY C GRECO PAC
Physician Assistant
3800 PARK NICOLLET BLVD, DEPARTMENT OF DERMATOLOGY
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3260
KARLA SUSAN ROSENMAN MD
Dermatology
3800 PARK NICOLLET BLVD, DERMATOLOGY 4TH FLOOR
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3821
DR. KRISTIN A KUNZMAN PSY.D.
Psychologist (Clinical)
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3393
DR. ALISON M LANG M.D.
Dermatology
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3789
DR. CHUNG M LEE M.D.
Radiology (Diagnostic Radiology)
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3212

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 Olivia Axelson's NPI number?

The NPI number for Olivia Axelson is 1508462623. It was assigned to this individual provider in the NPPES registry on December 6, 2020. The provider is also known as Dr. Olivia Grace Larson Phd.

Where is Olivia Axelson located?

Olivia Axelson practices at 3800 Park Nicollet Blvd, St Louis Park, MN 55416. The listed phone number is (952) 993-3123.

What is Olivia Axelson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Olivia Axelson enrolled in Medicare?

Yes. Olivia Axelson 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 organization bills Medicare for Olivia Axelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olivia Axelson reassigns Medicare benefits to Park Nicollet Clinic (St Louis Park, MN). The 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 Olivia Axelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Olivia Axelson accept?

Health plans from HealthPartners list Olivia Axelson 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 Olivia Axelson was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.