Olivia Angelichio, PA
Individual provider Active NPI Physician Assistant · Salem, MA
NPI 1013608975 · NPPES record last updated Oct 1, 2025
Key facts
- NPI
- 1013608975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA9380 (MA)
- Practice address
- 81 Highland Ave
Salem, MA 01970-2768 - Phone
- (978) 741-1200
- NPI assigned
- May 19, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230815000446 | MA | Practitioner - Physician Assistant | 4486016003 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9380 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Medical Center, Inc. | Current | Accepting new patients |
Locations
81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009
Interoperability endpoints
- popeo.olivia.nsmc@direct.partners.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9380 | MA | Yes |
Addresses
Primary practice location
81 Highland Ave
Salem, MA 01970-2768
Mailing address
4 Stone LN Apt 5314
Malden, MA 02148-1578
Phone (978) 835-5575
NPI Registry JSON
{
"created_epoch": "1684454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759276800000",
"number": "1013608975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 STONE LN APT 5314",
"city": "MALDEN",
"state": "MA",
"postal_code": "021481578",
"telephone_number": "978-835-5575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 HIGHLAND AVE",
"city": "SALEM",
"state": "MA",
"postal_code": "019702768",
"telephone_number": "978-741-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGELICHIO",
"first_name": "OLIVIA",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-19",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA9380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, MA
- Andrea Chisholm MD LLC
- Ryan Andrew
- Kelly A Andrews-Duffy
- Christina Elizabeth Anello Newman
- Anesthesia Associates of Salem
- Olivia Angood-Hardy
- Henrique Ankerkrone Caldas
- Anne Cooper Beazley LLC
- Hussein A. Antar
- Anu Isaac
All providers in Salem, MA · Physician Assistant in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.