Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MR. KENNETH MICHAEL OLSON P.A. - C
NPI 1649232877
Physician Assistant - Medical in Saint Louis, MO

Active since April 04, 2006PECOS Enrolled
915 N GRAND BLVD, 11F/JC ST. LOUIS VA, SAINT LOUIS, MO 63106(314) 652-4100 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Kenneth Michael Olson P.a. - C NPPES

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

MR. KENNETH MICHAEL OLSON P.A. - C (NPI 1649232877) is an individual medical provider in Saint Louis, Missouri and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649232877
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. KENNETH MICHAEL OLSONCredential: P.A. - C
Location Address915 N GRAND BLVD, 11F/JC ST. LOUIS VASaint Louis, MO 63106-1621
Mailing Address840 Castleaire PkwySaint Louis, MO 63129-2049 · (314) 892-6195
Sole ProprietorNo
Enumeration DateApril 4, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1649232877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
915 N GRAND BLVD, Saint Louis, MO 63106

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Kenneth Michael Olson P.a. - C 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.

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.

Optometrist
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Social Worker
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Internal Medicine
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Nurse Practitioner (Primary Care)
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Registered Nurse
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Emergency Medicine
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Dentist (General Practice)
915 N GRAND BLVD, DENTAL CLINIC
SAINT LOUIS, MO 63106
Nurse Anesthetist, Certified Registered
915 N GRAND BLVD
SAINT LOUIS, MO 63106

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 Kenneth Olson's NPI number?

The NPI number for Kenneth Olson is 1649232877. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Kenneth Olson located?

Kenneth Olson practices at 915 N Grand Blvd 11f/Jc St. Louis VA, Saint Louis, MO 63106. The listed phone number is (314) 652-4100.

What is Kenneth Olson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kenneth Olson enrolled in Medicare?

Yes. Kenneth Olson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Olson was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.