Individual provider Active NPI

Joel Olmstead, PA-C

  • Physician Assistant
  • Gilbert, AZ
National Provider Identifier
1396147450
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5804 Issued in AZ
Practice address
641 W Warner Rd
Gilbert, AZ 85233-7266
Phone
(480) 782-2982
Fax
(480) 722-9831
NPI assigned
Sep 20, 2014
Last updated
Aug 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5804 AZ Primary

Addresses

Primary practice location

641 W Warner Rd
Gilbert, AZ 85233-7266

Mailing address

1250 S Clearview Ave Ste 100
Urgent Care Extra
Mesa, AZ 85209-3378
Phone (480) 988-9108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20141111001398 AZ Practitioner - Physician Assistant 3577785351 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians

Practice addresses (Care Compare)

1066 N Power Rd
Suite 101
Mesa, AZ 85205-5709
Phone (480) 807-0130

914 N Scottsdale Rd
Suite 104
Tempe, AZ 85288-2116
Phone (480) 924-8382

Merit-based Incentive Payment System (MIPS)

Final score
65.27 of 100Reported as group
Quality
45.09
Improvement activities
40
Cost
66.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5804AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth-Fastmed Ambulatory Holdings LLC CurrentSince Dec 1, 2020 Accepting new patients
Dispatchhealth-Arizona CurrentSince Aug 1, 2022 Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC CurrentSince Dec 1, 2020 Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
East Valley Urgent Care, LLC Past Accepting new patients
Honorhealth Urgent Care, LLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Banner Urgent Care Services, LLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients

Locations

2875 W Ray Rd
Ste 8
Chandler, AZ 85224
Phone (480) 726-3440

3705 S Arizona Ave
Ste 1
Chandler, AZ 85248
Phone (480) 214-7828

495 N Pinal Pkwy
Ste 106
Florence, AZ 85132
Phone (520) 568-0573

3730 W Happy Valley Rd
Ste 100
Glendale, AZ 85310
Phone (623) 277-4140

1507 N Litchfield Rd
Ste 200
Goodyear, AZ 85395
Phone (623) 215-0040

1810 S Power Rd
Ste 101
Mesa, AZ 85206
Phone (480) 214-0045

1955 S Signal Butte Rd
Ste 103
Mesa, AZ 85209
Phone (480) 214-4466

415 N Val Vista Dr
Ste 101
Mesa, AZ 85213
Phone (480) 654-5661

835 W University Dr
Mesa, AZ 85201
Phone (480) 664-6007

2860 W Peoria Ave
Ste B
Phoenix, AZ 85029
Phone (602) 283-0595

4602 E University Dr
Ste 150
Phoenix, AZ 85034
Phone (480) 493-3444

5259 W Indian School Rd
Ste 100
Phoenix, AZ 85031
Phone (623) 888-5101

8260 W Indian School Rd
Ste 1
Phoenix, AZ 85033
Phone (623) 846-7122

4902 E Shea Blvd
Ste 101
Scottsdale, AZ 85254
Phone (480) 214-4468

7730 E McDowell Rd
Ste 101
Scottsdale, AZ 85257
Phone (480) 699-3314

12775 W Bell Rd
Ste 100
Surprise, AZ 85378
Phone (623) 215-0082

1804 W Elliot Rd
Tempe, AZ 85284
Phone (480) 456-0444

2720 W Baseline Rd
Tempe, AZ 85283
Phone (602) 777-6000

3244 S Mill Ave
Ste 101
Tempe, AZ 85282
Phone (480) 214-0621

1895 W Valencia Rd
Ste 101
Tucson, AZ 85746
Phone (520) 576-5104

2460 N Swan Rd
Ste 140
Tucson, AZ 85712
Phone (520) 441-5405

2510 E Broadway Blvd
Tucson, AZ 85716
Phone (520) 232-2072

5594 E 22nd St
Tucson, AZ 85711
Phone (520) 232-2047

7850 N Silverbell Rd
Ste 132
Tucson, AZ 85743
Phone (480) 500-2286

Interoperability endpoints

  • Direct secure messaging: joel.olmstead.1@13869.direct.athenahealth.com

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1411171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1396147450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S CLEARVIEW AVE STE 100",
            "address_2": "URGENT CARE EXTRA",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093378",
            "telephone_number": "480-988-9108",
            "fax_number": "480-813-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 W WARNER RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852337266",
            "telephone_number": "480-782-2982",
            "fax_number": "480-722-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLMSTEAD",
        "first_name": "JOEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-20",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.