JORDAN OLSON
NPI 1962850412
Speech-Language Pathologist in Kenosha, WI

NPI Status: Active since May 25, 2016

Contact Information

10108 74TH ST
KENOSHA, WI
ZIP 53142
Phone: (262) 671-2557

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  • Individual
  • Female
  • Years of Experience 10
  • Speech-Language Pathologist
  • Accepts Medicare Approved Payment

About JORDAN OLSON

This page provides the complete NPI Profile along with additional information for Jordan Olson, a provider established in Kenosha, Wisconsin with a medical specialization in Speech-language Pathologist and more than 10 years of experience. The healthcare provider is registered in the NPI registry with number 1962850412 assigned on May 2016. The practitioner's primary taxonomy code is 235Z00000X with license number 4322-154 (WI). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1962850412
Provider Name
JORDAN OLSON
Gender
Female
Entity Type
Individual
Location Address
10108 74TH ST KENOSHA, WI 53142
Location Phone
(262) 671-2557
Mailing Address
10108 74TH ST KENOSHA, WI 53142
Medical School Name
OTHER
Graduation Year
2016
Is Sole Proprietor?
No
Enumeration Date
05-25-2016
Last Update Date
06-08-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Speech-Language Pathologist

Taxonomy Code
235Z00000X
Type
Speech, Language and Hearing Service Providers
License No.
4322-154
License State
WI
Taxonomy Description
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Medicare Participation & PECOS Enrollment Status

Jordan Olson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 4880017383

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20200630002454

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1962850412
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29122165042
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 1 + 6 + 5 + 0 + 4 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1962850412 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

BROOKDALE SENIOR LIVING COMMUNITIES, INC.

Assisted Living Facility

10108 74TH ST
KENOSHA, WI
ZIP 53142

(262) 649-6101

MARISSA GALL

Student in an Organized Health Care Education/Training Program

10108 74TH ST
KENOSHA, WI
ZIP 53142

(262) 694-6101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962850412, enumerated in the NPI registry as an "individual" on May 25, 2016

The provider is located at 10108 74th St Kenosha, Wi 53142 and the phone number is (262) 671-2557

The provider's speciality is Speech-Language Pathologist with taxonomy code 235Z00000X

The provider has more than 10 years of experience.

This NPI record was last updated on May 25, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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