Jeffrey Olley, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

7701 Marewood PL
Concord Township, OH 44077-9033

Phone

(440) 488-4934

NPI assigned

Oct 9, 2023

Sex

Male

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 OH

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

Merit-based Incentive Payment System (MIPS)

Final score

86.58 of 100Reported as group

Quality

84.22

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: jolley535862@ehrdirect.uhhospitals.org

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.

• Emergency Medicine Physicians of Lake County LTD

  • Emergency Medicine Physician
  • Willoughby, OH
  • NPI 1154763944
  Medicare reassignment

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1194506915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7701 MAREWOOD PL",
            "city": "CONCORD TOWNSHIP",
            "state": "OH",
            "postal_code": "440779033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 MAREWOOD PL",
            "city": "CONCORD TOWNSHIP",
            "state": "OH",
            "postal_code": "440779033",
            "telephone_number": "440-488-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLLEY",
        "first_name": "JEFFREY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Kay McKeen, PA-C
• Cassandra Lynn McKernan, P.A.
• Nina Montgomery, FNP
• Katherine Marie Mottola, RN
• Ann Marie Murphy, M.A., CCC/SLP
• Jade Opalich-Sarli
• Alecia M. Owens, LPN
• Lanna M Pastor
• Michelle Lee Patterson, CRNA
• Paige Paystrup

• Physician Assistant in Concord Township, OH
• Providers in Concord Township, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.