Individual provider Active NPI

Kate M Olson, P.A.-C

  • Physician Assistant
  • Middletown, DE
National Provider Identifier
1639464456
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
222 Carter Dr
Ste 101
Middletown, DE 19709-5856
Phone
(302) 378-5494
Fax
(302) 378-1760
NPI assigned
Jun 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

222 Carter Dr
Ste 101
Middletown, DE 19709-5856

Mailing address

222 Carter Dr
Ste 101
Middletown, DE 19709-5856
Phone (302) 378-5494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20110819000010 DE Practitioner - Physician Assistant 0749450278 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Clinic, LLC CurrentSince Jan 1, 2026 Accepting new patients
First State Orthopaedics, PA Past Accepting new patients

Locations

121 Becks Woods Dr
Ste 100
Bear, DE 19701
Phone (302) 836-8200

222 Carter Dr
Ste 101
Middletown, DE 19709
Phone (302) 378-5494

Organizations & group practices 4

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": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1639464456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 CARTER DR",
            "address_2": "STE 101",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095856",
            "telephone_number": "302-378-5494",
            "fax_number": "302-378-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 CARTER DR",
            "address_2": "STE 101",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095856",
            "telephone_number": "302-378-5494",
            "fax_number": "302-378-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "KATE",
        "middle_name": "M",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-09",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

Verify at the official NPI Registry.