Individual provider Active NPI

Alexa Olson, PA-C

  • Surgical Physician Assistant
  • Lake Mary, FL
National Provider Identifier
1720608763
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9120290 Issued in FL
Practice address
454 Rinehart Rd Ste 2001
Lake Mary, FL 32746-5252
Phone
(321) 843-5851
Fax
(321) 842-2495
NPI assigned
Apr 20, 2020
Last updated
Dec 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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 085-007977 IL
Surgical Physician Assistant 363AS0400X PA9120290 FL Primary

Addresses

Primary practice location

454 Rinehart Rd Ste 2001
Lake Mary, FL 32746-5252

Mailing address

454 Rinehart Rd Ste 2001
Lake Mary, FL 32746-5252
Phone (321) 843-5851

Other practice location 1

929 W Higgins Rd
Schaumburg, IL 60195-3203
Phone (847) 285-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210326001741 IL Practitioner - Physician Assistant 9133536733 Reassigns benefits to 1 organization
I20251111002524 FL Practitioner - Physician Assistant 9133536733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

454 Rinehart Rd
Suite 1001
Lake Mary, FL 32746-5251
Phone (407) 206-4590

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.69 of 100Reported as group
Quality
75.8
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085-007977ILMDPhysician Assistant
PA9120290FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthomidwest, PLLC CurrentSince Oct 1, 2025 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 1, 2025 Accepting new patients
Orthomidwest, PLLC CurrentSince Oct 1, 2025 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 1, 2025 Accepting new patients
Orthomidwest, PLLC Physician Assistant Current Accepting new patients

Locations

454 Rinehart Rd
Ste 1001
Lake Mary, FL 32746
Phone (407) 206-4590

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

60 Columbia St
Ste 400
Orlando, FL 32806

864 W Stearns Rd
Bartlett, IL 60103
Phone (847) 285-4200

770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060

929 W Higgins Rd
Schaumburg, IL 60195
Phone (847) 285-4200

Organizations & group practices 5

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 4

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": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1720608763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 RINEHART RD STE 2001",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465252",
            "telephone_number": "321-843-5851",
            "fax_number": "321-842-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 RINEHART RD STE 2001",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465252",
            "telephone_number": "321-843-5851",
            "fax_number": "321-842-2495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "929 W Higgins Rd",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601953203",
            "country_code": "US",
            "telephone_number": "847-285-4200",
            "fax_number": "847-870-8159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "ALEXA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-20",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-007977",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9120290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.