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MS. EMMA KATHERINE OLSEN M.S.
NPI 1639550627
Student in an Organized Health Care Education/Training Program in Oakland, CA

Active since June 15, 2015PECOS Enrolled
390 40TH ST, OAKLAND, CA 94609(510) 613-0330(510) 569-4589 Get Directions Write a Review

NPPES record last updated: August 15, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Emma Katherine Olsen M.s. NPPES

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

MS. EMMA KATHERINE OLSEN M.S. (NPI 1639550627) is an individual student in an organized health care education/training program in Oakland, California and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Alameda.

NPPES Registry Identity

NPI1639550627
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. EMMA KATHERINE OLSENCredential: M.S.
Location Address390 40TH STOakland, CA 94609-2633
Mailing Address390 40th StOakland, CA 94609-2633 · (510) 613-0330 · Fax (510) 569-4589
Phone(510) 613-0330
Fax(510) 569-4589
Sole ProprietorNo
Enumeration DateJune 15, 2015
Last NPPES UpdateAugust 15, 2019
✔ NPI 1639550627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
390 40TH ST, Oakland, CA 94609
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Secondary Practice Location 1

Location 1559 Buena Vista Ave, Apt. 206Alameda, CA 94501-2083 · Phone (407) 965-6312

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Emma Katherine Olsen M.s. 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.

Medicare Billing Reassignment

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

Permanente Medical Group Inc
9.4 mi
Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1235226531 (510) 307-1555

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

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.

THUYMINH NGUYEN
Marriage & Family Therapist
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 653-5040
NOAH MERL
Social Worker
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 653-5040
VIRGIL GABA BAGAOISAN
Counselor (Addiction (Substance Use Disorder))
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 306-5361
DANIELLE CHRISJAN STAUFFER
Social Worker (Clinical)
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 723-1907
AUJANAE JACKSON
Peer Specialist
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330
AQUIL HASAN RASHEED
Day Training/Habilitation Specialist
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330
KIMBERLY JANE GATLIN
Adult Companion
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330
SHALIMAR FAYEZ BOULOS LCSW, MSW, MPH
Social Worker (Clinical)
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330

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 Emma Olsen's NPI number?

The NPI number for Emma Olsen is 1639550627. It was assigned to this individual provider in the NPPES registry on June 15, 2015.

Where is Emma Olsen located?

Emma Olsen practices at 390 40th St, Oakland, CA 94609. The listed phone number is (510) 613-0330.

What is Emma 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 Emma Olsen enrolled in Medicare?

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

Which organization bills Medicare for Emma Olsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emma Olsen reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, CA). 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 Emma Olsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Emma Olsen was last updated on August 15, 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.