Maricela Sevilla Olea, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

261918 Issued in AZ

Practice address

151 S Oak Ave Ste 2
San Luis, AZ 85336-0756

Phone

(928) 662-0414

Fax

(928) 722-6113

NPI assigned

Aug 6, 2021

Last updated

Aug 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

San Luis Walk-in Clinic IncGroup PAC ID 2668361841, 49 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• San Luis Walk-in Clinic, Inc.

  • Rural Health Clinic/Center
  • San Luis, AZ
  • NPI 1104228337
  Medicare reassignment Care Compare group NPD
• San Luis Walk-in Clinic, Inc.

  dba Children Integrated Care Services

  • Rural Health Clinic/Center
  • Somerton, AZ
  • NPI 1063274868
  NPD
• San Luis Walk-in Clinic, Inc.

  dba Lake Havasu Pediatric Family Clinic

  • Rural Health Clinic/Center
  • Lake Havasu City, AZ
  • NPI 1154051753
  NPD

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1447924907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 617",
            "city": "SOMERTON",
            "state": "AZ",
            "postal_code": "853500617",
            "telephone_number": "928-315-7910",
            "fax_number": "928-722-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 S OAK AVE STE 2",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "853360756",
            "telephone_number": "928-662-0414",
            "fax_number": "928-722-6113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 E Main St Bldg B",
            "address_purpose": "LOCATION",
            "city": "Somerton",
            "state": "AZ",
            "postal_code": "853507409",
            "country_code": "US",
            "telephone_number": "928-236-8001",
            "fax_number": "928-722-6113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLEA",
        "first_name": "MARICELA",
        "middle_name": "SEVILLA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-06",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "261918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Anthony Morales, FNP-C
• Siyanda Obed Mquqwana, OT
• Clarisse Vanessa Ngueha-Nana
• Armik Ohanesyan Salmas
• Alejandro Olea
• Angeles Olivarez
• Melissa Ortega
• Omara Hanid Ortiz
• Patricia Rodriguez, FNP-C & Associates
• Jason Cyril Patron, PHARMD

• Family Nurse Practitioner in San Luis, AZ
• Providers in San Luis, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.