KEITH J OLSON DO
NPI 1790713543
Family Medicine in Northfield, MN

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
1400 JEFFERSON RD, NORTHFIELD, MN 55057(507) 663-9000(651) 241-0775 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 29, 2026, Mar 22, 2023, Nov 10, 2020 (3 updates tracked since 2020).

About Keith J Olson Do NPPES

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

KEITH J OLSON DO (NPI 1790713543) is an individual family medicine provider in Northfield, Minnesota, licensed in Minnesota (29720) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1790713543
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKEITH J OLSONCredential: DO
Location Address1400 JEFFERSON RDNorthfield, MN 55057-3081
Mailing Address1400 Jefferson RdNorthfield, MN 55057-3081 · (507) 663-9000 · Fax (651) 241-0775
Fax(651) 241-0775
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJune 29, 2006
Last NPPES UpdateJanuary 29, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
✔ NPI 1790713543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 29720
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1400 JEFFERSON RD, Northfield, MN 55057

Other Identifiers 4

Other010050518GA · Railroad Medicare
Medicaid378877600MN
Other54035OLMN · Bcbs
OtherN003453MN · Champus

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

Keith J Olson Do 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 ID5890755912
PECOS Enrollment IDI20230224000064
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 Reassignments

4

Medicare enrollment records show Keith Olson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
1400 JEFFERSON RD
Northfield, MN 55057
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,609 clinicians in this Medicare group
Physician Assistant
6150 EGAN DR
Savage, MN 55378
  • Reassigned Medicare billing, Minnesota enrollment
  • 320 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
3210 DR MARTIN LUTHER KING BLVD
Fort Myers, FL 33916
  • Reassigned Medicare billing, Florida enrollment
  • 1,345 clinicians in this Medicare group
Internal Medicine
9981 S HEALTHPARK DR
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,899 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services36 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55057 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
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.

Family Medicine
1400 JEFFERSON RD
NORTHFIELD, MN 55057
Family Medicine
1400 JEFFERSON RD
NORTHFIELD, MN 55057
Family Medicine
1400 JEFFERSON RD
NORTHFIELD, MN 55057
Social Worker (Clinical)
1400 JEFFERSON RD
NORTHFIELD, MN 55057
Family Medicine (Sports Medicine)
1400 JEFFERSON RD
NORTHFIELD, MN 55057
Nurse Practitioner (Psychiatric/Mental Health)
1400 JEFFERSON RD
NORTHFIELD, MN 55057
Family Medicine
1400 JEFFERSON RD
NORTHFIELD, MN 55057
Nurse Practitioner (Family)
1400 JEFFERSON RD
NORTHFIELD, MN 55057

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 Keith Olson's NPI number?

The NPI number for Keith Olson is 1790713543. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Keith Olson located?

Keith Olson practices at 1400 Jefferson Rd, Northfield, MN 55057. The listed phone number is (507) 663-9000.

What is Keith Olson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Keith Olson enrolled in Medicare?

Yes. Keith Olson 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 organizations bill Medicare for Keith Olson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Olson reassigns Medicare benefits to 4 organizations: Allina Health System (Northfield, MN), St Francis Regional Medical Center (Savage, MN), Lee Memorial Health System (Fort Myers, FL) and Lee Health System Inc (Fort Myers, FL). Each 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 Keith Olson'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 Keith Olson was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.