Individual provider Active NPI

Olivia Salter, PA-C

  • Physician Assistant
  • Dyersville, IA
National Provider Identifier
1821552969
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
094981 Issued in IA
Practice address
1121 3Rd St SW
Dyersville, IA 52040-1783
Phone
(563) 875-2776
Fax
(563) 875-7657
NPI assigned
Jan 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 094981 IA Primary

Addresses

Primary practice location

1121 3Rd St SW
Dyersville, IA 52040-1783

Mailing address

1121 3Rd St SW
Dyersville, IA 52040-1783
Phone (563) 875-2776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20190411003031 IA Practitioner - Physician Assistant 8224379615 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Iowa, RJ & L Carver College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates Clinic P CGroup PAC ID 3870491228, 228 clinicians

Practice addresses (Care Compare)

1000 Langworthy St
Dubuque, IA 52001-7313
Phone (563) 584-4100

1121 3Rd St SW
Dyersville, IA 52040-1725
Phone (563) 875-2776

1500 Associates Dr
Dubuque, IA 52002-2201
Phone (563) 584-4100

805 Johnson St SW
Cascade, IA 52033-8636
Phone (563) 852-7756

Hospital & facility affiliations

  • Above and Beyond Home Health Home health agency, Monticello, IA, CCN 167299
  • In-Home Care Connection Home Health Services Home health agency, Moline, IL, CCN 148146
  • Hospice of Dubuque Hospice, Dubuque, IA, CCN 161514
  • Mercyone Dyersville Medical Center Hospital, Dyersville, IA, CCN 161378
  • Mercyone Dubuque Medical Center Hospital, Dubuque, IA, CCN 160069
  • Regional Medical Center Hospital, Manchester, IA, CCN 161343

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
094981IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates Clinic P C CurrentSince Oct 5, 2020 Accepting new patients
The Finley Hospital Physician Assistant CurrentSince May 1, 2019 Accepting new patients
The Finley Hospital CurrentSince May 1, 2019 Accepting new patients

Locations

805 Johnson St SW
Cascade, IA 52033
Phone (563) 852-7756

1500 Delhi St
Ste 4300
Dubuque, IA 52001
Phone (563) 557-5971

1000 Langworthy St
Dubuque, IA 52001
Phone (563) 584-3455

1121 3rd St SW
Dyersville, IA 52040
Phone (563) 875-2776

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1821552969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 3RD ST SW",
            "city": "DYERSVILLE",
            "state": "IA",
            "postal_code": "520401783",
            "telephone_number": "563-875-2776",
            "fax_number": "563-875-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 3RD ST SW",
            "city": "DYERSVILLE",
            "state": "IA",
            "postal_code": "520401783",
            "telephone_number": "563-875-2776",
            "fax_number": "563-875-7657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALTER",
        "first_name": "OLIVIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "094981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersville, IA

Sources for this page

Verify at the official NPI Registry.