NPIMap

Individual provider Active NPI

Amy R Olayiwola, PA-C

  • Physician Assistant
  • Carlisle, PA
National Provider Identifier
1093072670
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA055791 Issued in PA
Practice address
1533 Commerce Ave Ste 2
Carlisle, PA 17015-9128
Phone
(717) 960-8956
Fax
(717) 218-7557
NPI assigned
Apr 19, 2012
Last updated
Apr 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA055791 PA Primary
Medical Physician Assistant 363AM0700X MA055791 PA

Addresses

Primary practice location

1533 Commerce Ave Ste 2
Carlisle, PA 17015-9128

Mailing address

1533 Commerce Ave Ste 2
Carlisle, PA 17015-9128
Phone (717) 960-8956

Other names 1

  • Amy R Zabrosky Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aolayiwola177316@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120525000362 PA Practitioner - Physician Assistant 2769645928 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

1533 Commerce Ave
Suite 2
Carlisle, PA 17015-9128
Phone (717) 960-8956

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

210 Forge Rd
Boiling Springs, PA 17007-9787
Phone (717) 249-8300

366 Alexander Spring Rd
Carlisle, PA 17015-9214

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.61 of 100Reported as group
Quality
83.98
Promoting interoperability
100
Improvement activities
40
Cost
78.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians Physician Assistant CurrentSince May 5, 2022 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jun 9, 2021 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Feb 11, 2017 Accepting new patients
Pinnacle Health Medical Services Physician Assistant CurrentSince Jun 9, 2021 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince May 5, 2022 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Feb 11, 2017 Accepting new patients
Hanover Health Corporation Past Accepting new patients
Wellspan Medical Group Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

1533 Commerce Ave
Ste 2
Carlisle, PA 17015
Phone (717) 796-9300

366 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-1900

1404 Baltimore St
Ste 4
Hanover, PA 17331
Phone (717) 637-0470

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

500 University Dr
#41
Hershey, PA 17033
Phone (717) 531-8202

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

300 Bretz Ct
Ste 100
Newport, PA 17074
Phone (717) 567-3174

Interoperability endpoints

  • Direct secure messaging: aolayiwola177316@direct.geisinger.edu

Organizations & group practices 11

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

Hospital & facility affiliations 10

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": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1093072670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 COMMERCE AVE STE 2",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170159128",
            "telephone_number": "717-960-8956",
            "fax_number": "717-218-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 COMMERCE AVE STE 2",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170159128",
            "telephone_number": "717-960-8956",
            "fax_number": "717-218-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAYIWOLA",
        "first_name": "AMY",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055791",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA055791",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aolayiwola177316@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "51 Business Campus Way Ste 200",
            "city": "Duncannon",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170209596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "ZABROSKY",
            "middle_name": "R",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carlisle, PA

Sources for this page

Verify at the official NPI Registry.