Olga Ulitsky

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME107449 Issued in FL

Practice address

409 Serano Way Unit 101
Nokomis, FL 34275-5241

Phone

(941) 484-8222

NPI assigned

May 5, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.09 of 100Reported as individual

Quality

94.18

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: oulitsky@directaddress.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Olga Ulitsky MD PL

  • Clinic/Center
  • Venice, FL
  • NPI 1144525676
  Medicare reassignment NPD Authorized official
• Justin Ross Wasserman MD PL

  • Clinic/Center
  • Nokomis, FL
  • NPI 1891098612
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1023284536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 SERANO WAY UNIT 101",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342755241",
            "telephone_number": "941-484-8222",
            "fax_number": "941-486-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 SERANO WAY UNIT 101",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342755241",
            "telephone_number": "941-484-8222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Avenida Del Circo",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342854108",
            "country_code": "US",
            "telephone_number": "941-484-8222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ULITSKY",
        "first_name": "OLGA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME107449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Kay Thompson, PH.D., LMFT
• Rhonda Alyse Thompson, M.D.
• Kate Tower, RDN
• Elizabeth Townsend
• Samantha Trebisacci, PHARMD
• Lynn Ann Vanstone, CCC-SLP
• Audrey Lynn Vero, MS, RD
• Village Pharmacy of Nokomis LLC (Village Pharmacy)
• VMD Primary Providers Central Florida PLLC
• Ember Lee Charlotte Wackelin

• Dermatology Physician in Nokomis, FL
• Providers in Nokomis, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.