SAMUEL DEAN OLSON
NPI 1679413439
Student in an Organized Health Care Education/Training Program in Wyoming, MI

Q: What is Samuel Olson's NPI number?

The NPI number for Samuel Olson is 1679413439. It was assigned to this individual provider in the NPPES registry on March 31, 2026.

Q: What is Samuel Olson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samuel Olson was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 31, 2026PECOS Enrolled

5900 BYRON CENTER AVE SW, WYOMING, MI 49519(616) 252-7200 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 17, 2026, Mar 31, 2026 (2 updates tracked since 2026).

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About Samuel Dean Olson NPPES

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

SAMUEL DEAN OLSON (NPI 1679413439) is an individual student in an organized health care education/training program in Wyoming, Michigan and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679413439

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSAMUEL DEAN OLSON

Location Address5900 BYRON CENTER AVE SWWyoming, MI 49519-9606

Mailing Address5900 Byron Center Ave SwWyoming, MI 49519-9606 · (616) 252-7078 · Fax (616) 252-4953

Phone(616) 252-7200

Sole ProprietorNo

Enumeration DateMarch 31, 2026

Last NPPES UpdateApril 17, 20262 updates tracked since enumeration

NPPES CertifiedApril 17, 2026

✔ NPI 1679413439 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.

5900 BYRON CENTER AVE SW, Wyoming, MI 49519

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Dean Olson 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.

MATTHEW AARON ERCK DO

Internal Medicine