Shelbi Olson, MD

Surgery in Minneapolis, MN. Individual provider (NPI-1).

NPI number1639799893

StatusActive

Last updated in NPPESMay 16, 2024

Details

NPI: 1639799893
Entity type: Individual (NPI-1)
Name: Shelbi Olson
Credential: MD
Sex: Female
Sole proprietor: No
Enumeration date: Apr 17, 2020
Certification date: May 16, 2024
Last updated: May 16, 2024

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - GENERAL SURGERY
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208600000X	Surgery	74096	MN	Yes
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

420 Delaware St Se
Minneapolis, MN 55455-0341

Phone 612-625-6483

Mailing address

420 Delaware St Se
Minneapolis, MN 55455-0341

Phone 612-625-6483

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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