Lark Michelle Olivas, FNP-C
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Stanton, TX
NPI 1659995645 · NPPES record last updated Jul 9, 2025
Key facts
- NPI
- 1659995645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 34433 (TX)
- Practice address
- 600 East Interstate 20
Stanton, TX 79782-0640 - Phone
- (432) 607-3200
- Fax
- (432) 607-3644
- NPI assigned
- Jun 4, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Martin County Hospital District
Practice addresses (Care Compare)
600 E
Suite 20
Stanton, TX 79782-0640
Phone 43260732003225
Hospital & facility affiliations
- Martin County Hospital District
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200709001694 | TX | Practitioner - Nurse Practitioner | 6002239001 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34433 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin County Hospital District | Current |
Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current |
Accepting new patients | |
| Martin County Hospital District | Current |
Accepting new patients |
Locations
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
600 E Interstate 20
#D104
Stanton, TX 79782
Phone (432) 607-3243
600 E Interstate 20
Stanton, TX 79782
Phone (432) 607-3200
Interoperability endpoints
- 21390lo@mchd.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 34433 | TX | Yes |
| Family Nurse Practitioner | 363LF0000X | 34433 | TX |
Addresses
Primary practice location
600 East Interstate 20
Stanton, TX 79782-0640
Mailing address
PO Box 640
Stanton, TX 79782-0640
Phone (432) 607-3200
Other practice location 1
600 East Interstate 20
D104
Stanton, TX 79782
Phone (432) 607-3243
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | 21390LO@mchd.cernerdirect.com | Direct |
Other providers in Stanton, TX
- Kelsi Marie Miller
- Crystal Adalia Montoya
- Shawndra Dean Moore
- Welton Randolph Moore
- Susanna Elyse Mullinax
- Hima Bindu Parchuri
- Linda Friesen Pierce
- Kasey Ramirez
- Betty Richardson
- Mark Anthony Salcone
All providers in Stanton, TX · Psychiatric/Mental Health Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.