Individual provider Active NPI

Parker McKay Olsen, PA-C

  • Medical Physician Assistant
  • Meridian, ID
National Provider Identifier
1285330084
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA-2739 Issued in ID
Practice address
1859 S Topaz Way Ste 106
Meridian, ID 83642-4401
Phone
(208) 672-4640
Fax
(208) 957-6300
NPI assigned
Feb 2, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-2739 ID
Surgical Physician Assistant 363AS0400X
Medical Physician Assistant 363AM0700X PA-2739 ID Primary

Addresses

Primary practice location

1859 S Topaz Way Ste 106
Meridian, ID 83642-4401

Mailing address

1000 S 52ND St
Rogers, AR 72758-8610
Phone (479) 271-9607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20240520002635 ID Practitioner - Physician Assistant 3971962770 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Idaho Spine and Pain PLLCGroup PAC ID 5698069771, 3 clinicians
Walter Knox Memorial HospitalGroup PAC ID 7012907785, 21 clinicians

Practice addresses (Care Compare)

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 672-4640

1102 E Locust St
Emmett, ID 83617-2713
Phone (208) 365-6004

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-2739IDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Elaine Key MD PLLC CurrentSince May 12, 2024 Accepting new patients
Walter Knox Memorial Hospital CurrentSince Sep 15, 2025 Accepting new patients
Walter Knox Memorial Hospital CurrentSince Sep 15, 2025 Accepting new patients
Walter Knox Memorial Hospital Past Accepting new patients

Locations

1102 E Locust St
Emmett, ID 83617
Phone (208) 365-6004

2135 S Sub Station Rd
Emmett, ID 83617
Phone (208) 488-6300

1202 E Locust St
Emmett, ID 83617
Phone (208) 365-2338

1859 S Topaz Way
Ste 106
Meridian, ID 83642
Phone (208) 475-3720

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/eb237299-e2be-4fd4-aca6-5fa7adcd28c1/

Organizations & group practices 5

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 4

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": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1285330084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S 52ND ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588610",
            "telephone_number": "479-271-9607",
            "fax_number": "479-271-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1859 S TOPAZ WAY STE 106",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836424401",
            "telephone_number": "208-672-4640",
            "fax_number": "208-957-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "PARKER",
        "middle_name": "MCKAY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-02",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-2739",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ID",
            "license": "PA-2739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.