NPIMap

Individual provider Active NPI

Olivia Wika, PA

  • Physician Assistant
  • Coeur d'Alene, ID
National Provider Identifier
1669252250
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61455717 Issued in WA
Practice address
2426 N Merritt Creek Loop Ste a
Coeur D Alene, ID 83814-4961
Phone
(208) 819-2183
NPI assigned
Oct 2, 2023
Last updated
Oct 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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 PA61455717 WA Primary

Addresses

Primary practice location

2426 N Merritt Creek Loop Ste a
Coeur D Alene, ID 83814-4961

Mailing address

2426 N Merritt Creek Loop Ste a
Coeur D Alene, ID 83814-4961
Phone (208) 819-2183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231121003688 WA Practitioner - Physician Assistant 6406204999 Reassigns benefits to 2 organizations
I20240110004974 ID Practitioner - Physician Assistant 6406204999 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meza Post Acute and Long Term Care PLLCGroup PAC ID 4981028503, 26 clinicians

Practice addresses (Care Compare)

1110 E Westview CT
Spokane, WA 99218-1326
Phone (208) 819-2183

12903 E Mission Ave
Spokane Valley, WA 99216-3405
Phone (509) 862-5138

17121 E 8TH Ave
Spokane Valley, WA 99016-8556
Phone (208) 819-2183

1801 E Upriver Dr
Spokane, WA 99207-5181
Phone (208) 819-2183

3400 E Fernan Hill Rd
Coeur D Alene, ID 83814-7588
Phone (208) 819-4970

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100Reported as apm
Quality
89.26
Promoting interoperability
69.9
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA61455717WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians PLLC Single Specialty Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1669252250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 N MERRITT CREEK LOOP STE A",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144961",
            "telephone_number": "208-819-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2426 N MERRITT CREEK LOOP STE A",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144961",
            "telephone_number": "208-819-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIKA",
        "first_name": "OLIVIA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61455717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.