Individual provider Active NPI

Olin N. Vance, D.O.

  • Emergency Medicine Physician
  • Mesa, AZ
National Provider Identifier
1417987173
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4073 Issued in AZ
Practice address
Banner Mesa Medical Center
1010 N. Country Club Drive
Mesa, AZ 85201-3309
Phone
(480) 834-1211
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4073 AZ Primary

Addresses

Primary practice location

Banner Mesa Medical Center
1010 N. Country Club Drive
Mesa, AZ 85201-3309

Mailing address

1832 E Lexington Ave
Gilbert, AZ 85234-6124

Other practice location 1

401 Burro Aly
Morenci, AZ 85540-9647
Phone (928) 865-7526

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040902001355 AZ Practitioner - Emergency Medicine 9638082175 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gila Health ResourcesGroup PAC ID 1254327216, 28 clinicians
Usacs Emergency Medicine of Arizona LLCGroup PAC ID 7113447475, 36 clinicians

Practice addresses (Care Compare)

401 Burro Aly
Morenci, AZ 85540-9647
Phone (928) 865-7500

4545 N Hunt Hwy
Florence, AZ 85132-6937
Phone (520) 868-3333

Hospital & facility affiliations

  • Honorhealth Four Peaks Medical Center Hospital, Mesa, AZ, CCN 030121
  • Honorhealth Tempe Medical Center Hospital, Phoenix, AZ, CCN 030037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Emergency Medicine of Arizona, LLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Phoenix Emergency Physicians LLC Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
Gila Health Resources CurrentSince Jun 1, 2025 Accepting new patients
Emergency Physicians Southwest, PC Emergency Medicine CurrentSince Mar 1, 2007 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Feb 1, 2025 Accepting new patients
Quantum Healthcare Medical Associates of Arizona, PC Emergency Medicine CurrentSince Sep 14, 2020 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Feb 1, 2025 Accepting new patients
Mountain Vista Emergency Physicians, LLC Emergency Medicine CurrentSince Jan 10, 2023 Accepting new patients
Team Physicians of Arizona PC Emergency Medicine Past Accepting new patients

Locations

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

4545 N Hunt Hwy
Florence, AZ 85132
Phone (480) 258-6100

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

5750 E Baseline Rd
Mesa, AZ 85206
Phone (602) 246-5797

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

401 Burro Aly
Morenci, AZ 85540
Phone (928) 865-7500

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

1500 S Mill Ave
Tempe, AZ 85281
Phone (480) 784-5500

Interoperability endpoints

  • Direct secure messaging: olin.vance.1@33093.direct.athenahealth.com

Organizations & group practices 9

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1417987173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 E LEXINGTON AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852346124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BANNER MESA MEDICAL CENTER",
            "address_2": "1010 N. COUNTRY CLUB DRIVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852013309",
            "telephone_number": "480-834-1211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Burro Aly",
            "address_purpose": "LOCATION",
            "city": "Morenci",
            "state": "AZ",
            "postal_code": "855409647",
            "country_code": "US",
            "telephone_number": "928-865-7526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANCE",
        "first_name": "OLIN",
        "middle_name": "N.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "4073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.