Individual provider Active NPI

Olivia Persina, PA

  • Physician Assistant
  • Winchester, VA
National Provider Identifier
1669990230
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
PO Box 3250
Winchester, VA 22604-2450
Phone
(540) 504-0118
NPI assigned
Sep 5, 2017
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C07087 MD
Physician Assistant 363A00000X ME Primary

Addresses

Primary practice location

PO Box 3250
Winchester, VA 22604-2450

Mailing address

Medex Northwest 4311 11TH Avenue NE
Suite 200
Seattle, WA 98105

Other practice location 1

MEDEX Northwest 4311 11th Avenue NE
Suite 200
Seattle, WA 98105
Phone (206) 616-4001

Other names 1

  • Olivia Price Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20230808001699 ME Practitioner - Physician Assistant 9931446291 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Washington School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maine Medical Consultants PCGroup PAC ID 7810229259, 46 clinicians
Pai Participant 7 PCGroup PAC ID 2466788906, 31 clinicians
Palliative Care Consultants PCGroup PAC ID 9133612765, 2 clinicians

Practice addresses (Care Compare)

335 Brighton Ave
Portland, ME 04102-2363
Phone (207) 518-8869

367 US Route 1
Suite 3S
Falmouth, ME 04105-1352
Phone (207) 962-1200

44 Hogan Rd
Bangor, ME 04401-5602
Phone (207) 942-2333

758 Broadway
Bangor, ME 04401-3224
Phone (207) 941-8400

91 Auburn St
Suite J1096
Portland, ME 04103-6008
Phone (207) 518-8869

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.1 of 100Reported as group
Quality
64.8
Promoting interoperability
96
Improvement activities
40
Cost
68.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2324WVMDProfessional Counselor
C07087MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Palliative Care Consultants PC CurrentSince Oct 21, 2025 Accepting new patients
Pai Participant 7 PC CurrentSince Nov 1, 2025 Accepting new patients
Eastern Maine Medical Center CurrentSince Sep 10, 2023 Accepting new patients

Locations

335 Stillwater Ave
Bangor, ME 04401
Phone (207) 947-1111

489 State St
Bangor, ME 04401
Phone (207) 973-8837

64 Park St
Dexter, ME 04930
Phone (207) 924-5516

367 US Route 1
Ste 3S
Falmouth, ME 04105
Phone (207) 939-6789

91 Auburn St
Ste J1096
Portland, ME 04103
Phone (207) 939-6789

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1669990230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDEX NORTHWEST 4311 11TH AVENUE NE",
            "address_2": "SUITE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 3250",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226042450",
            "telephone_number": "540-504-0118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "MEDEX Northwest 4311 11th Avenue NE",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98105",
            "country_code": "US",
            "telephone_number": "206-616-4001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERSINA",
        "first_name": "OLIVIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C07087",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "PRICE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.