Active NPI
Olivia Wheatley
- Physician Assistant
- Carson City, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2921
- Practice address
- 2874 N Carson St Ste 120
Carson City, NV 89706-1681 - Phone
- (775) 445-5193
- NPI assigned
- Jan 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2921 | NV | Primary |
Addresses
Primary practice location
2874 N Carson St Ste 120
Carson City, NV 89706-1681
Mailing address
1114 Modoc Way
South Lake Tahoe, CA 96150-5248
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
155 Hwy 50
Stateline, NV 89449-9816
Phone (775) 589-8900
2074 Lake Tahoe Blvd
Suite 4
South Lake Tahoe, CA 96150-6408
Phone (530) 543-5554
Hospital & facility affiliations
- Barton Memorial Hospital
- Carson Tahoe Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2921 | NV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carson Tahoe Physician Clinics | Current | Accepting new patients | |
| CTH Physicians Clinic | Current | Accepting new patients | |
| Carson Tahoe Regional Healthcare | Current | Accepting new patients | |
| Barton Medical Foundation | Current | Accepting new patients | |
| Barton Healthcare System | Past | Accepting new patients |
Locations
2074 Lake Tahoe Blvd
Ste 4
South Lake Tahoe, CA 96150
Phone (530) 543-5554
2874 N Carson St
Ste 200
Carson City, NV 89706
Phone (775) 283-3220
1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149
2874 N Carson St
Ste 120
Carson City, NV 89706
Phone (775) 445-5181
901 Medical Center Dr
Ste 203
Dayton, NV 89403
Phone (775) 445-7630
10539 Professional Cir
Ste 200
Reno, NV 89521
Phone (775) 445-7026
Interoperability endpoints
- ocushing676526@direct.med.utah.edu
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Carson City, NV
- NPI 1023265717
-
- Internal Medicine Physician
- Carson City, NV
- NPI 1306533732
-
- General Acute Care Hospital
- Carson City, NV
- NPI 1255360160
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Carson City, NV
- NPI 1568281988
-
- Rural Health Clinic/Center
- Stateline, NV
- NPI 1588598536
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carson City, NV
- NPI 1255360160
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Carson City, NV
- NPI 1568281988
Hospital
-
- General Acute Care Hospital
- South Lake Tahoe, CA
- NPI 1003867565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1154082121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1114 MODOC WAY",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961505248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2874 N CARSON ST STE 120",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897061681",
"telephone_number": "775-445-5193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEATLEY",
"first_name": "OLIVIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-03",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA2921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.