Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Connor Gustav Olson, PA-C, LAT, ATC

Individual provider Physician Assistant · NPI 1295240687

Connor Gustav Olson, PA-C, LAT, ATC is a Physician Assistant in Altoona, Wisconsin. Qualified in 2022, 4 years ago. Practices with Chippewa Valley Orthopedics and Sports Medicine Clinic SC, a 30-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1200 Oakleaf Way Ste A
Altoona, WI 54720-2217
Phone: (715) 832-1400
Fax: (715) 832-4187
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5937-23 (WI)

Record details

NPI number1295240687
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , LAT , ATC
Sole proprietorNo
NPI enumeratedDecember 6, 2017
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Chippewa Valley Orthopedics And Sports Medicine Clinic Sc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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