Individual provider Active NPI

Olivia Horan, AGPCNP-C

  • Nurse Practitioner
  • San Rafael, CA
National Provider Identifier
1306529896
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95025859 Issued in CA
Practice address
800 A St
San Rafael, CA 94901-3011
Phone
(415) 457-8182
NPI assigned
Aug 10, 2023
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95025859 CA Primary

Addresses

Primary practice location

800 A St
San Rafael, CA 94901-3011

Mailing address

PO Box 3517
San Rafael, CA 94912-3517
Phone (415) 457-8182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250210003146 CA Practitioner - Nurse Practitioner 7113457862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of California, San Francisco School of Medicine, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Ritter CenterGroup PAC ID 8123074853, 3 clinicians

Practice addresses (Care Compare)

16 Ritter St
San Rafael, CA 94901-3323
Phone (415) 457-8182

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95025859CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ritter Center CurrentSince Dec 6, 2024 Accepting new patients

Locations

16 Ritter St
San Rafael, CA 94901
Phone (415) 457-8182

800 A St
San Rafael, CA 94901
Phone (415) 730-4623

Interoperability endpoints

  • Direct secure messaging: olivia.horan@srhealth.eclinicaldirectplus.com

Organizations & group practices 1

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 2

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": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1306529896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3517",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949123517",
            "telephone_number": "415-457-8182",
            "fax_number": "415-457-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 A ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013011",
            "telephone_number": "415-457-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORAN",
        "first_name": "OLIVIA",
        "credential": "AGPCNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95025859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

Verify at the official NPI Registry.