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

Individual provider Pediatric Hematology & Oncology Physician · NPI 1649664871

Dr. Mallery Olsen, MD is a Hematology/Oncology in Minneapolis, Minnesota. Qualified in 2015, 11 years ago. Practices with Fairview Express Care, a 1,964-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone: (612) 365-8100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Hematology & Oncology Physician (primary) Taxonomy 2080P0207X · Licence 80064 (MN)
General Practice Physician Taxonomy 208D00000X · Licence 80064 (MN)

Record details

NPI number1649664871
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2015
Last updated in NPPESOctober 24, 2025
Certification dateOctober 24, 2025
Mailing address2450 Riverside Ave # 8951, Minneapolis, MN 55454-1450

Medicare enrollment

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

Medicare specialtyHEMATOLOGY/ONCOLOGY
Also practisesPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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