Matthew Olsen, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9886 Issued in AZ

Practice address

560 N Camino Mercado Ste 7
Casa Grande, AZ 85122-5759

Phone

(520) 836-5538

Fax

(844) 772-0049

NPI assigned

Dec 9, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sweetheart Healthcare LLC Home health agency, Chandler, AZ, CCN 037813

Merit-based Incentive Payment System (MIPS)

Final score

21.65 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

72.15

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Prescott Healthcare Solutions LLC

  • Family Medicine Physician
  • Prescott, AZ
  • NPI 1821454505
  Medicare reassignment Care Compare group
• Sundance Medical Associates PLLC

  • Family Medicine Physician
  • Gilbert, AZ
  • NPI 1942481718
  NPD (past)

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

• Sweetheart Healthcare, LLC

  • Home Health Agency
  • Chandler, AZ
  • NPI 1699440073
  Care Compare affiliation

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1710698725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 N CAMINO MERCADO STE 7",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225759",
            "telephone_number": "520-836-5538",
            "fax_number": "844-772-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 N CAMINO MERCADO STE 7",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225759",
            "telephone_number": "520-836-5538",
            "fax_number": "844-772-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "MATTHEW",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-09",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207528",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olive Branch, LLC
• Olive Health and Wellness LLC
• Jessica R Oliver, FNP-C
• Zacaria Olivero
• Jennifer Olmos, RN, BSN
• Sean Oney, DNP, FNP-C
• Rebecca Kemunto Ongera, NURSE
• Nneka Mariagoretti Onyia
• Uchenna George Onyia, MD
• Laura Fuller Ormeroid, MSW

• Physician Assistant in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.