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Deactivated NPI 1184179954 Deactivated / Inactive NPI Male Practitioner

Blake Olson

Chiropractor • Michigan City, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Blake Olson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 22, 2016
NPI Deactivation Date May 28, 2026
Total Practice Duration ~10 Years of Practice (2016 – 2026)

Professional Overview & Biography Verified Profile Summary

Blake Olson was a registered Chiropractor practicing in Michigan City, IN. Throughout an active medical career spanning 10 years, Blake Olson provided care at the practice location at 501 W KIEFFER RD until profile deactivation on 2026-05-28.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 3-4 spinal regions, chiropractic manipulative treatment, 1-2 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

501 W Kieffer Rd

Michigan City, IN 463609580

Telephone 2198792177
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Michigan City, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
10 Specialists

Practicing in Michigan City, IN (1470 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
11.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
643 52 $44.00 $38.54
98940 Chiropractic manipulative treatment, 1-2 spinal regions
103 14 $30.02 $26.70

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License IN 08002915A

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Brent Hicks

Chiropractor - Rehabilitation

NPI 1073656534
NPI 1497526487

Doctor of Chiropractic

NPI 1578789103

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 28, 2026

Record deactivated on May 28, 2026

NPI Profile Active August 22, 2016

NPI status registered as active in NPPES database

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Updated Practice Location August 22, 2016

Registered at 501 W KIEFFER RD, MICHIGAN CITY, IN 463609580 (Tel: 2198792177)

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Updated Business Mailing Address August 22, 2016

Registered at 501 W KIEFFER RD, MICHIGAN CITY, IN 463609580

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Provider Name / Credentials Updated August 22, 2016

Recorded as BLAKE OLSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2016

Chiropractor (License #08002915A in IN)

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Initial NPI Registration & Enumeration August 22, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184179954
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2016
Last Update: August 22, 2016
Deactivation Date: May 28, 2026

Mailing Address

501 W Kieffer Rd

Michigan City, IN 463609580

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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