Individual provider Active NPI

Olga Hornsby, MPAS, PA-C

  • Physician Assistant
  • Milwaukee, WI
National Provider Identifier
1033544093
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3135 Issued in WI
Practice address
9200 W Wisconsin Ave
Dept of Orthopaedic Surgery
Milwaukee, WI 53226-3522
Phone
(414) 805-7410
Fax
(414) 805-7499
NPI assigned
Sep 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 3135-23 WI
Physician Assistant 363A00000X 3135 WI Primary

Addresses

Primary practice location

9200 W Wisconsin Ave
Dept of Orthopaedic Surgery
Milwaukee, WI 53226-3522

Mailing address

9200 W Wisconsin Ave
Dept of Orthopaedic Surgery
Milwaukee, WI 53226-3522
Phone (414) 805-7410

Other identifiers 2

IdentifierTypeStateIssuer
1033544093MedicaidWI
3135-23OtherWIWISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131028000907 WI Practitioner - Physician Assistant 3476788514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prohealth Medical Group IncGroup PAC ID 3476465188, 475 clinicians

Practice addresses (Care Compare)

109 Air Park Dr
Watertown, WI 53094-7400
Phone (262) 928-5100

1185 Corporate Ctr Dr
Suite 175
Oconomowoc, WI 53066-4889
Phone (262) 928-8400

1500 Walnut Ridge Dr
Hartland, WI 53029-9317
Phone (262) 928-7500

195 Discovery Dr
Brookfield, WI 53045-2862
Phone (262) 513-7100

240 Maple Ave
Mukwonago, WI 53149-8475
Phone (262) 928-1900

717 W Moreland Blvd
Waukesha, WI 53188-2432
Phone (262) 542-9100

721 American Ave
Waukesha, WI 53188-5071

725 American Ave
Waukesha, WI 53188-5031
Phone (262) 928-1000

N17W24100 Riverwood Dr
Waukesha, WI 53188-1127
Phone (262) 928-4704

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.83 of 100Reported as group
Quality
48.15
Promoting interoperability
100
Improvement activities
40
Cost
54.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3135WIMDChiropractor
3135-23WIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Medical Group Inc CurrentSince Sep 1, 2024 Accepting new patients
Prohealth Medical Group Inc. CurrentSince Sep 1, 2024 Accepting new patients

Locations

N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1033544093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 W WISCONSIN AVE",
            "address_2": "DEPT OF ORTHOPAEDIC SURGERY",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263522",
            "telephone_number": "414-805-7410",
            "fax_number": "414-805-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 W WISCONSIN AVE",
            "address_2": "DEPT OF ORTHOPAEDIC SURGERY",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263522",
            "telephone_number": "414-805-7410",
            "fax_number": "414-805-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNSBY",
        "first_name": "OLGA",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "3135-23",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "3135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033544093",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES",
            "identifier": "3135-23",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.