Andrew Michael Olvera

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3043 Issued in NE

Practice address

4920 S 30TH St Ste 103
Omaha, NE 68107-1656

Phone

(402) 734-4110

Fax

(402) 734-3990

NPI assigned

Jul 14, 2022

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 NE

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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oneworld Community Health Centers IncGroup PAC ID 3173435153, 56 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrew.olvera.p1@direct.oneworldomaha.nextgenshare.com

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.

• Oneworld Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Omaha, NE
  • NPI 1952330649
  Medicare reassignment Care Compare group
• Oneworld Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Omaha, NE
  • NPI 1043941719
  NPD
• Oneworld Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Omaha, NE
  • NPI 1982553186
  NPD
• Oneworld Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Omaha, NE
  • NPI 1063725554
  NPD (past)
• Oneworld Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Omaha, NE
  • NPI 1164735759
  NPD (past)

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1285368332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 S 30TH ST STE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681071656",
            "telephone_number": "402-734-4110",
            "fax_number": "402-734-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 S 30TH ST STE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681071656",
            "telephone_number": "402-734-4110",
            "fax_number": "402-734-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLVERA",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-14",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "3043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Allison Olumesi
• Obdulia Olvera Hernandez
• Maximiano Olvera Mays
• Danielle Olvera
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• Omaha Ambulatory Surgery Center LLC
• Omaha Anesthesia & Pain Treatment, LLC
• Omaha Anesthesia Associates LLC

• Physician Assistant in Omaha, NE
• Providers in Omaha, NE by specialty
• Physician Assistant in Nebraska

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

Verify at the official NPI Registry.