Individual provider Active NPI

Olivia Cummins, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1083329171
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1301 W 38TH St Ste 102
Austin, TX 78705-1010
Phone
(512) 454-4561
NPI assigned
Jan 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1301 W 38TH St Ste 102
Austin, TX 78705-1010

Mailing address

6210 E Hwy 290
Austin, TX 78723-1142
Phone (512) 483-9596

Other practice location 1

5151 Park Ave
Fairfield, CT 06825-1000
Phone (203) 371-7999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20231219000068 TX Practitioner - Physician Assistant 6709236607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Regional Clinic PAGroup PAC ID 3072507789, 398 clinicians

Practice addresses (Care Compare)

1301 W 38TH St
102 Arc Medical Park Tower Ortho
Austin, TX 78705-1010
Phone (512) 454-4561

151 Exchange Blvd
500 Arc Hutto
Hutto, TX 78634-5381
Phone (512) 846-1244

1807 W Slaughter LN
490 Arc Southwest
Austin, TX 78748-6208
Phone (512) 282-8967

2785 E 7TH St
Austin Regional Clinic East 7TH
Austin, TX 78702-3907
Phone (737) 910-6700

3816 S 1St St
Austin, TX 78704-7048
Phone (512) 443-1311

3828 S 1St St
Arc South 1St
Austin, TX 78704-7048
Phone (512) 443-1311

6835 Austin Ctr Blvd
Austin, TX 78731-3166
Phone (512) 346-6611

708 W Ben White Blvd
Austin, TX 78704-7034

801 E Whitestone Blvd
BLDG B
Cedar Park, TX 78613-9040
Phone (512) 259-3467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Regional Clinic, PA Physician Assistant CurrentSince Nov 7, 2023 Accepting new patients
Austin Regional Clinic, PA CurrentSince Nov 7, 2023 Accepting new patients

Locations

6835 Austin Center Blvd
Austin, TX 78731
Phone (512) 231-5210

6210 E Highway 290
Austin, TX 78723

1301 W 38th St
Ste 102
Austin, TX 78705
Phone (512) 454-4561

151 Exchange Blvd
Ste 500
Hutto, TX 78634
Phone (512) 846-1244

Interoperability endpoints

  • Direct secure messaging: ocummins28389@arcmd.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1083329171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 E HWY 290",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231142",
            "telephone_number": "512-483-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 38TH ST STE 102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051010",
            "telephone_number": "512-454-4561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5151 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CT",
            "postal_code": "068251000",
            "country_code": "US",
            "telephone_number": "203-371-7999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUMMINS",
        "first_name": "OLIVIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.