JARVIS OLSEN APRN NPI 1194149146

NPI Information

  • NPI: 1194149146
  • Provider Name: JARVIS OLSEN, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2481 PROFESSIONAL CT
    LAS VEGAS, NV
    ZIP 89128
  • Phone: (702) 382-1599

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NPI Details

Jarvis Olsen, APRN is a family nurse practitioner in Las Vegas, NV with 13 years of experience. Jarvis Olsen, APRN NPI is 1194149146. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2481 PROFESSIONAL CT
LAS VEGAS, NV
ZIP 89128-825
Phone: (702) 382-1599
Fax: (702) 240-4962

The NPI 1194149146 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 2/11/2014 and was last updated on 9/11/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyAPRN001679NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1V108079MEDICARE PIN
21194149146MEDICAIDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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