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Deactivated NPI 1487937892 Deactivated / Inactive NPI Male Practitioner

Jonathan Deforest Olson , CNP

Nurse Practitioner - Gerontology • Minneapolis, MN

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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, Jonathan Olson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 21, 2011
NPI Deactivation Date December 03, 2020
Total Practice Duration ~9 Years of Practice (2011 – 2020)

Professional Overview & Biography Verified Profile Summary

Jonathan Olson, CNP was a registered Nurse Practitioner - Gerontology practicing in Minneapolis, MN. Throughout an active medical career spanning 9 years, Jonathan Olson provided care at the practice location at 30 W 22ND ST until profile deactivation on 2020-12-03.

Practice Location & Contact Primary Location

Practice Address

30 W 22nd St
#204

Minneapolis, MN 554042428

Telephone 6123455261

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Gerontology in Minneapolis, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.8 Yrs
State Avg: 11.3 Yrs
Regional Practice Density
108 Specialists

Practicing in Minneapolis, MN (365 Statewide)

Telehealth Adoption Rate
5.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Gerontology Primary Specialty

NUCC Taxonomy Code: 363LG0600X

State License MN CNP0170

Definition to come...

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 December 03, 2020

Record deactivated on December 03, 2020

NPI Profile Active October 15, 2015

NPI status registered as active in NPPES database

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Updated Practice Location October 15, 2015

Registered at 30 W 22ND ST, #204, MINNEAPOLIS, MN 554042428 (Tel: 6123455261)

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Updated Business Mailing Address October 15, 2015

Registered at 30 W 22ND ST, #204, MINNEAPOLIS, MN 554042428 (Tel: 6123455261)

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Provider Name / Credentials Updated October 15, 2015

Recorded as JONATHAN OLSON, CNP

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2015

Nurse Practitioner (License #CNP0170 in MN)

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Initial NPI Registration & Enumeration September 21, 2011

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: 1487937892
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2011
Last Update: October 15, 2015
Deactivation Date: December 03, 2020

Mailing Address

30 W 22nd St, #204

Minneapolis, MN 554042428

Phone: 6123455261

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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