Mrs Kelly Mukti Olsen, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Oshkosh, WI

Mrs Kelly Mukti Olsen, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Oshkosh, Wisconsin. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Agnesian Healthcare Inc, Aurora Medical Group, Inc. and her current practice location is 855 N Westhaven Dr, Oshkosh, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 303-8700.

Mrs Kelly Mukti Olsen is licensed to practice in Wisconsin (license number 7895) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235417320.

Contact Information

Mrs Kelly Mukti Olsen, CRNA
855 N Westhaven Dr,
Oshkosh, WI 54904-7668
(920) 303-8700
Not Available

Map and Direction




Provider's Profile

Full NameMrs Kelly Mukti Olsen
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience8 Years
Location855 N Westhaven Dr, Oshkosh, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Kelly Mukti Olsen graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1235417320
  • Provider Enumeration Date: 07/24/2011
  • Last Update Date: 02/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9830487016
  • Enrollment ID: I20171206003482

Medical Identifiers

Medical identifiers for Mrs Kelly Mukti Olsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235417320NPI-NPPES
100073374MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 7895 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Agnes HospitalFond du lac, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Agnesian Healthcare Inc1658289624322
Aurora Medical Group, Inc.67097942583164

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Kelly Mukti Olsen allows following entities to bill medicare on her behalf.
Entity NameAgnesian Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346228541
PECOS PAC ID: 1658289624
Enrollment ID: O20031104000263
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kelly Mukti Olsen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Kelly Mukti Olsen, CRNA
3301 W Forest Home Ave,
Milwaukee, WI 53215-2843

Ph: (920) 303-8700
Mrs Kelly Mukti Olsen, CRNA
855 N Westhaven Dr,
Oshkosh, WI 54904-7668

Ph: (920) 303-8700

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Oshkosh, WI

Ms. Michele M Osborne, CRNA-MNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904
Phone: 920-303-8700    Fax: 920-303-5630
Patrick A Tousignant, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 500 S Oakwood Rd, Oshkosh, WI 54904
Phone: 920-232-1941    
Mr. Matthew R Mueller, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904
Phone: 920-303-8700    
Mr. David Brad Bogard, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904
Phone: 920-456-6000    Fax: 920-456-5590
Kristoffer L Hagen, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 500 S Oakwood Rd, Oshkosh, WI 54904
Phone: 920-223-2000    
Mrs. Andrea Kay Rossi, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 723 Powers St, Oshkosh, WI 54901
Phone: 920-203-3596    
Laura Swenson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 500 S Oakwood Rd, Oshkosh, WI 54904
Phone: 920-223-1941    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.