Jill Myrene Olvey, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

65214 Issued in CO

Practice address

131 S Main St Ste 101
Pueblo, CO 81003-3415

Phone

(719) 924-9398

Fax

(719) 924-9593

NPI assigned

Dec 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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 and National Provider Directory roles.

• Rocky Mountain Primary Care Clinic

  • Family Nurse Practitioner
  • Pueblo, CO
  • NPI 1720385016
  Medicare reassignment NPD
• Family Medicine of Pueblo PLLC

  • Family Medicine Physician
  • Pueblo, CO
  • NPI 1912995929
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1467511303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 S MAIN ST STE 101",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033415",
            "telephone_number": "719-924-9398",
            "fax_number": "719-924-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 S MAIN ST STE 101",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033415",
            "telephone_number": "719-924-9398",
            "fax_number": "719-924-9593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLVEY",
        "first_name": "JILL",
        "middle_name": "MYRENE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "65214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "06D2025909",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aidan Olson
• Alexandria Olson, RD
• Brandi Leanne Olson, FNP-C
• Daniel Allen Olson, M.D.
• Funmilayo Rolake Oludiran, M.D.
• Omnicare Health Solutions, Inc.
• Omnicare Pharmacy of Pueblo, LLC (Omnicare of Pueblo)
• On the Couch Counseling and Therapy Services LLC
• Lilian Onyinye Onwuka, PMHNP
• Open Gate Counseling Service, LLC

• Family Nurse Practitioner in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.