Individual provider Active NPI

Amanda Mae Olson, D.O.

  • Internal Medicine Physician
  • Philipsburg, PA
National Provider Identifier
1609018274
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS016886 Issued in PA
Practice address
210 Medical Center Dr
Philipsburg, PA 16866-1948
Phone
(814) 342-5402
Fax
(814) 342-0598
NPI assigned
Mar 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS016886 PA Primary

Addresses

Primary practice location

210 Medical Center Dr
Philipsburg, PA 16866-1948

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aschell85667@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20140919000186 PA Practitioner - Internal Medicine 7214156538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

210 Medical Ctr Dr
Philipsburg, PA 16866-1948
Phone (814) 342-8020

Hospital & facility affiliations

  • Conemaugh Home Health Home health agency, Johnstown, PA, CCN 397406
  • Penn Highlands Community Nurses Home health agency, Clearfield, PA, CCN 397091
  • 365 Hospice LLC Hospice, State College, PA, CCN 391691
  • Geisinger Medical Center Hospital, Danville, PA, CCN 390006
  • Geisinger-Lewistown Hospital Hospital, Lewistown, PA, CCN 390048
  • Penn Highlands Dubois Hospital, Dubois, PA, CCN 390086

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS016886PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Aug 8, 2016 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Aug 8, 2016 Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

819 E Bishop St
Bellefonte, PA 16823
Phone (814) 353-3501

100 N Academy Ave
Danville, PA 17822

210 Medical Center Dr
Philipsburg, PA 16866
Phone (814) 342-8001

611 University Dr
State College, PA 16801
Phone (814) 234-2600

200 Scenery Dr
State College, PA 16801
Phone (814) 231-4560

Interoperability endpoints

  • Direct secure messaging: aschell85667@direct.geisinger.edu

Organizations & group practices 5

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 66

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 66

NPI Registry JSON

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

{
    "created_epoch": "1238284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1609018274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MEDICAL CENTER DR",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168661948",
            "telephone_number": "814-342-5402",
            "fax_number": "814-342-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "AMANDA",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-29",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS016886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aschell85667@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "210 Medical Center Dr",
            "city": "Philipsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "168661948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philipsburg, PA

Sources for this page

Verify at the official NPI Registry.