DR. MYANNA TERESA OLSEN MD
NPI 1619541224
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since May 18, 2021PECOS Enrolled
450 CLARKSON AVE # 24, BROOKLYN, NY 11203(718) 270-3320 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Myanna Teresa Olsen Md NPPES

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

DR. MYANNA TERESA OLSEN MD (NPI 1619541224) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619541224
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. MYANNA TERESA OLSENCredential: MD
Location Address450 CLARKSON AVE # 24Brooklyn, NY 11203-2012
Mailing Address450 Clarkson Ave # 24Brooklyn, NY 11203-2012 · (718) 270-3320
Sole ProprietorNo
Enumeration DateMay 18, 2021
NPPES CertifiedMay 18, 2021
✔ NPI 1619541224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
450 CLARKSON AVE # 24, Brooklyn, NY 11203

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Myanna Teresa Olsen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Myanna Olsen's NPI number?

The NPI number for Myanna Olsen is 1619541224. It was assigned to this individual provider in the NPPES registry on May 18, 2021.

Where is Myanna Olsen located?

Myanna Olsen practices at 450 Clarkson Ave # 24, Brooklyn, NY 11203. The listed phone number is (718) 270-3320.

What is Myanna Olsen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Myanna Olsen enrolled in Medicare?

Yes. Myanna Olsen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Myanna Olsen was last updated on May 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.