Jacob Olive

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1770126575 Issued in TX

Practice address

2801 Franciscan Dr
Bryan, TX 77802-2544

Phone

(979) 776-3777

NPI assigned

Oct 24, 2019

Last updated

May 23, 2020By the provider in NPPES

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DCS Medical PAGroup PAC ID 0042507600, 155 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Physicians Centre,the Hospital, Bryan, TX, CCN 450834

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• DCS Medical PA

  dba Integrity Urgent Care

  • Urgent Care Clinic/Center
  • Princeton, TX
  • NPI 1285082768

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Bryan Emergency Physicians PA

  • Emergency Medicine Physician
  • Bryan, TX
  • NPI 1417995481

  Single Specialty

  Medicare reassignment NPD
• DCS Medical PA

  dba Integrity Urgent Care

  • Rural Health Clinic/Center
  • Bonham, TX
  • NPI 1063138741
  NPD

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

• Brazos Valley Physicians Organization,Mso-LLC

  dba The Physicians Pain and Spine Centre

  • General Acute Care Hospital
  • Bryan, TX
  • NPI 1801817135
  Care Compare affiliation

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590192000000",
    "number": "1770126575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 S HUTCHINS ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778034767",
            "telephone_number": "979-204-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 FRANCISCAN DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022544",
            "telephone_number": "979-776-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVE",
        "first_name": "JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-24",
        "last_updated": "2020-05-23",
        "certification_date": "2020-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1770126575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Odyssey Healthcare Operating a LP (Odyssey HealthCare of Bryan College Station)
• Vincent Ugochukwu Ohaju
• Donna Ohde, FNP-C
• Oherbst Inc (Guardian Healthcare)
• Chidi Okoro
• Kayela M Oliver-Greer
• Reese Kenneth Oliver, MD
• Elizabeth Lisette Olvera, FNP-C
• One Step Diagnostic V LLC
• Stephen J Oneal, DDS

• Family Nurse Practitioner in Bryan, TX
• Providers in Bryan, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2020; 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.