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Jayla Olson , MSW

Social Worker β€’ Duluth, MN

Active NPI 1366895161 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

332 W Superior St
Duluth, MN 558021808

Call 2187224379 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

332 W Superior St

Duluth, MN 558021808

Telephone 2187224379
Fax 2187224333
Organization at the Same NPPES Address or Phone
Interim Healthcare Of Lake Superior, Inc. Facility NPI 1417950874

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 Duluth, MN. See the list

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

CMS Doctors and Clinicians lists 1 group name: Nystrom And Associates Ltd. 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

2016

Years since graduation

10 years (graduated 2016)

CMS Doctors and Clinicians data list 2016 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

2016

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

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

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)

Jayla 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 Jayla Olson as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) 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 Duluth and Minnesota

18 active clinicians are listed under Social Worker with a practice address in Duluth, MN (1,021 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Duluth

11.1% of these 18 clinicians have the CMS telehealth indicator.

11.1% of these 18 clinicians are listed by CMS as accepting Medicare assignment.

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

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-07-01
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES MN 20551

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

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: Minnesota Board of Medical Practice.
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 - CLINICAL SOCIAL WORKER

Medicare Enrollment ID

I20210826000068

Enrollment State Jurisdiction

MN

PECOS Control ID

9436554698

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not 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

Nystrom And Associates Ltd

332 W Superior St, Duluth, MN 558021844

Phone: 2187224379

Secondary Practice Locations

5410 Glenwood St

Duluth, MN 558041332

Phone: 7013512833

Clinicians Sharing This Practice Address or Phone

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

7 listed
Theresa Carr , RN, CNS

Nurse Practitioner - Psychiatric/Mental Health

NPI 1346269602

Registered Nurse, Clinical Nurse Specialist

Coleen Christensen , APRN-CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1396237764

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Matthew Fanberg , MSED, LPCC

Counselor - Professional

NPI 1447750294

Master of Science in Education, Licensed Professional Clinical Counselor

Angela Khalar , MSW, LICSW

Social Worker - Clinical

NPI 1831549260

Master of Social Work, Licensed Independent Clinical Social Worker

Connie Semmelroth , RN, CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1265513998

Registered Nurse, Certified Nurse Practitioner

Dr. Jason Stahl , PsyD

Counselor - Professional

NPI 1528655321

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

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

7 Historical Events
πŸ“
Updated Practice Location July 01, 2021

Registered at 332 W SUPERIOR ST, DULUTH, MN 558021808 (Tel: 2187224379)

βœ…
NPI Profile Active July 15, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 15, 2016

Registered at 5410 GLENWOOD ST, DULUTH, MN 558041332 (Tel: 7013512833)

πŸ“
Business Mailing Address (Initial Record) July 15, 2016

Registered at 5410 GLENWOOD ST, DULUTH, MN 558041332 (Tel: 7013512833)

πŸ‘€
Provider Name / Credentials (Initial Record) July 15, 2016

Recorded as JAYLA OLSON, MSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2016

Social Worker (license number reported to NPPES: MN 20551)

🟒
Initial NPI Registration & Enumeration July 15, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1366895161
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2016
Last Update: July 01, 2021
Sole Proprietor: No

Mailing Address

5410 Glenwood St

Duluth, MN 558041332

Phone: 7013512833

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.