Individual provider Active NPI

Jennifer Lynne Olivarez, DO

  • Emergency Medicine Physician
  • Myrtle Beach, SC
National Provider Identifier
1750628046
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
V3929 Issued in TX
Practice address
809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone
(184) 369-2100
NPI assigned
Jan 7, 2013
Last updated
May 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X V3929 TX Primary

Addresses

Primary practice location

809 82ND Pkwy
Myrtle Beach, SC 29572-4607

Mailing address

809 82ND Parkway
Gme Office
Myrtle Beach, SC 29572
Phone (843) 692-1752

Other names 1

  • Jennifer Lynne Olivarez Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241008001725 TX Practitioner - Emergency Medicine 9133367097 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of TX, PLLCGroup PAC ID 3375909351, 374 clinicians
Edinburg Emergency Medicine Associates PAGroup PAC ID 9638246408, 74 clinicians
Oak Creek Emergency Medicine Associates PAGroup PAC ID 4385988385, 70 clinicians
Shavano Emergency Medicine Associates, PAGroup PAC ID 2062777634, 47 clinicians

Practice addresses (Care Compare)

2744 W University Dr
Rio Grande Regional Hospita
Edinburg, TX 78539-2835
Phone (956) 380-8080

330 W Expressway
Suite 83
Weslaco, TX 78599-4332
Phone (956) 975-2300

3700 W Nolana Ave
McAllen, TX 78504-4884
Phone (956) 213-2700

4702 S McColl Rd
Edinburg, TX 78539-8201
Phone (956) 213-2600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon Springs Emergency Medicine Associates, PA Emergency Medicine CurrentSince Oct 26, 2024 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Sep 10, 2024 Accepting new patients
Shavano Emergency Medicine Associates, PA Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
Oak Creek Emergency Medicine Associates, PA Emergency Medicine CurrentSince Dec 5, 2024 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

140 Frontage Rd
Alamo, TX 78516
Phone (956) 403-5100

2744 W University Dr
Edinburg, TX 78539
Phone (956) 380-8080

4702 S McColl Rd
Edinburg, TX 78539
Phone (956) 213-2600

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

3700 W Nolana Ave
McAllen, TX 78504
Phone (956) 213-2700

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Organizations & group practices 7

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": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1750628046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 82ND PARKWAY",
            "address_2": "GME OFFICE",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29572",
            "telephone_number": "843-692-1752",
            "fax_number": "843-692-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 82ND PKWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724607",
            "telephone_number": "184-369-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVAREZ",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-07",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "V3929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "OLIVAREZ",
            "middle_name": "LYNNE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.