Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly J Olson, NP

Individual provider Nurse Practitioner · NPI 1104100718

Kelly J Olson, NP is a Nurse Practitioner in Rice Lake, Wisconsin. Qualified in 2011, 15 years ago. Practices with Lakeview Medical Center Inc of Rice Lake, a 170-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
15
Licensed in
WI
In the registry since
2011
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1700 W Stout St
Rice Lake, WI 54868-5000 Not confirmed with CMS for 14 years — call before visiting
Phone: (715) 236-8100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4606 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 4606 (WI)

Record details

NPI number1104100718
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 30, 2011
Last updated in NPPESSeptember 30, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Lakeview Medical Center Inc Of Rice Lake — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Rice Lake