Individual provider Active NPI

Pamila Joy Ellis Olesen, ARNP

  • Family Nurse Practitioner
  • Gig Harbor, WA
National Provider Identifier
1619684891
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61373094 Issued in WA
Practice address
4700 Point Fosdick Dr Ste 220
Gig Harbor, WA 98335-1706
Phone
(253) 851-5121
Fax
(253) 851-3059
NPI assigned
Oct 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60808806 WA
Family Nurse Practitioner 363LF0000X AP61373094 WA Primary

Addresses

Primary practice location

4700 Point Fosdick Dr Ste 220
Gig Harbor, WA 98335-1706

Mailing address

4700 Point Fosdick Dr Ste 220
Gig Harbor, WA 98335-1706
Phone (253) 851-5121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20221220000675 WA Practitioner - Nurse Practitioner 7618346362 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN60808806WAMDRegistered Nurse
AP61373094WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Polyclinic CurrentSince Apr 1, 2023 Accepting new patients
Optum Care Washington PLLC CurrentSince Apr 1, 2023 Accepting new patients
Optum Care Washington PLLC CurrentSince Apr 1, 2023 Accepting new patients
The Polyclinic PLLC CurrentSince Apr 1, 2023 Accepting new patients
Peninsula Family Medical Center CurrentSince Jul 22, 2025 Accepting new patients
The Polyclinic PLLC Current Accepting new patients

Locations

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

4700 Point Fosdick Dr
Ste 220
Gig Harbor, WA 98335
Phone (253) 851-5121

1025 153rd St SE
Ste 200
Mill Creek, WA 98012
Phone (425) 338-4000

1145 Broadway
Seattle, WA 98122

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3889/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1619684891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 POINT FOSDICK DR STE 220",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351706",
            "telephone_number": "253-851-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 POINT FOSDICK DR STE 220",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351706",
            "telephone_number": "253-851-5121",
            "fax_number": "253-851-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLESEN",
        "first_name": "PAMILA",
        "middle_name": "JOY ELLIS",
        "name_prefix": "Dr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-27",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60808806",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61373094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

Verify at the official NPI Registry.