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Jacqueline Lorraine Olson , PA-C

Physician Assistant β€’ Evanston, IL

Active NPI 1316668494 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

2650 Ridge Ave
Evanston, IL 602011700

Call 8475702868 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2650 Ridge Ave

Evanston, IL 602011700

Telephone 8475702868
Organization at the Same NPPES Address or Phone
Endeavor Health Clinical Operations Facility NPI 1184670549

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Glenview, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Endeavor Health Medical Group. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2023

Industry payments (Open Payments)

Fewer than 11 payment records totaling $36.71 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

Years since graduation

3 years (graduated 2023)

CMS Doctors and Clinicians data list 2023 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jacqueline Olson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jacqueline Olson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Evanston and Illinois

77 active clinicians are listed under Physician Assistant with a practice address in Evanston, IL (4,929 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Evanston

16.9% of these 77 clinicians have the CMS telehealth indicator.

44.2% of these 77 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $36.71.

Manufacturer Payment Nature Product Type Amount ($)
BridgeBio Pharma, Inc.
Food and Beverage
In-kind items and services
Attruby General $36.71

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-03-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES IL 085010139

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

License # reported to NPPES IL 085010139
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20240206000448

Enrollment State Jurisdiction

IL

PECOS Control ID

2466895537

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Endeavor Health Medical Group

2100 Pfingsten Rd, Glenview, IL 600261301

Endeavor Health Medical Group

2650 Ridge Ave, Evanston, IL 602011700

Secondary Practice Locations

2100 Pfingsten Rd

Glenview, IL 600261301

Phone: 8476575800

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

13 listed
Kaitlin Bryzinski , PA-C

Physician Assistant - Surgical

NPI 1902178759

Physician Assistant (Certified)

Tom Cherng , PA-C

Physician Assistant - Surgical

NPI 1932518065

Physician Assistant (Certified)

Heather Dopp , PA-C

Physician Assistant - Surgical

NPI 1891098323

Physician Assistant (Certified)

Dr. Eugene Fernandes , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1346266996

Doctor of Medicine (M.D.)

Nicole Fisch , PA-C

Physician Assistant - Surgical

NPI 1811494917

Physician Assistant (Certified)

Paulynn Katsulis , CNP

Nurse Practitioner

NPI 1265633473

Certified Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2026

Physician Assistant (license number reported to NPPES: IL 085010139)

πŸ“
Updated Practice Location February 27, 2024

Registered at 2650 RIDGE AVE, EVANSTON, IL 602011700 (Tel: 8475702868)

πŸ“
Updated Business Mailing Address February 27, 2024

Registered at 2650 RIDGE AVE, EVANSTON, IL 602011700 (Tel: 8475702868)

πŸ‘€
Provider Name / Credentials Updated February 27, 2024

Recorded as JACQUELINE OLSON, PA-C

πŸ“
Updated Practice Location January 12, 2024

Registered at 2100 PFINGSTEN RD, GLENVIEW, IL 600261301 (Tel: 8476575800)

πŸ“
Updated Business Mailing Address January 12, 2024

Registered at 2823 N LINCOLN AVE APT 2F, CHICAGO, IL 606574201 (Tel: 6514083285)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2024

Physician Assistant (license number reported to NPPES: IL 085.010139)

βœ…
NPI Profile Active September 07, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 07, 2022

Registered at 1753 W CORNELIA AVE UNIT 2, CHICAGO, IL 606571040 (Tel: 6514083285)

πŸ“
Business Mailing Address (Initial Record) September 07, 2022

Registered at 1753 W CORNELIA AVE UNIT 2, CHICAGO, IL 606571040 (Tel: 6514083285)

πŸ‘€
Provider Name / Credentials (Initial Record) September 07, 2022

Recorded as JACQUELINE OLSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2022

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration September 07, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1316668494
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2022
Last Update: March 24, 2026
Sole Proprietor: Yes

Other Physician Assistants in Evanston

All Physician Assistants in Evanston

Mailing Address

2650 Ridge Ave

Evanston, IL 602011700

Phone: 8475702868

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.