Brittany Jeanne Olofsson, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PAT9104333 Issued in FL

Practice address

6099 W Gulf to Lake Hwy
Crystal River, FL 34429-8721

Phone

(352) 794-6868

Fax

(352) 794-6869

NPI assigned

Sep 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Citrus Spine Institute LLCGroup PAC ID 5698078525, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tampa General Hospital Crystal River Hospital, Crystal River, FL, CCN 100249
• HCA Florida Citrus Hospital Hospital, Inverness, FL, CCN 100023

Merit-based Incentive Payment System (MIPS)

Final score

95.74 of 100Reported as group

Quality

95.76

Improvement activities

40

Cost

81.23

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: bolofsson296805@direct.tgh.org
• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

• Citrus Spine Institute LLC

  • Orthopaedic Surgery of the Spine Physician
  • Crystal River, FL
  • NPI 1396113676
  Medicare reassignment Care Compare group NPD
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD

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

• Citrus Memorial Hospital, Inc.

  dba HCA Florida Citrus Hospital

  • General Acute Care Hospital
  • Inverness, FL
  • NPI 1750780342
  Care Compare affiliation
• Tampa General Hospital Citrus LLC

  dba Tampa General Hospital Crystal River

  • General Acute Care Hospital
  • Crystal River, FL
  • NPI 1407637531
  Care Compare affiliation

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1679769194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6099 W GULF TO LAKE HWY",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344298721",
            "telephone_number": "352-794-6868",
            "fax_number": "352-794-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6099 W GULF TO LAKE HWY",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344298721",
            "telephone_number": "352-794-6868",
            "fax_number": "352-794-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLOFSSON",
        "first_name": "BRITTANY",
        "middle_name": "JEANNE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PAT9104333",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PAT9104333",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PAT9104333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE#",
            "identifier": "PAT9104333",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• OBGYN Care
• Paige Marie Obstfeld
• Michael William Odell, RPH
• Olutayo T Olabige, M.D.
• Anthony B Oliverio, DC
• Optical Express of Crystal River Inc
• Optimart, Inc. (Optimart, Inc. #11)
• Orthotics Plus LLC
• Vivian Owusu
• Paula Page-Hough, PTA, DPT

• Medical Physician Assistant in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.