Individual provider Active NPI

Olivia Louis-Jean, PA

  • Physician Assistant
  • Gainesville, FL
National Provider Identifier
1851973572
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9114055 Issued in FL
Practice address
4340 Newberry Rd Ste 301
Gainesville, FL 32607-2557
Phone
(352) 372-9414
Fax
(352) 271-5393
NPI assigned
Apr 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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 PA9114055 FL Primary

Addresses

Primary practice location

4340 Newberry Rd Ste 301
Gainesville, FL 32607-2557

Mailing address

8311 NW 54TH St
Lauderhill, FL 33351-4919

Other identifiers 1

IdentifierTypeStateIssuer
PI0OMOtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210428000181 FL Practitioner - Physician Assistant 3678981800 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Accent Physician Specialists PAGroup PAC ID 4082686951, 16 clinicians

Practice addresses (Care Compare)

4340 Newberry Rd
Suite 301
Gainesville, FL 32607-2557
Phone 3523729414265

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9114055FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Accent Physician Specialists, P.a. CurrentSince Jul 15, 2024 Accepting new patients
Lina L Feaster PA PastSince Jan 2, 2004 Accepting new patients

Locations

4340 Newberry Rd
Ste 301
Gainesville, FL 32607

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1851973572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8311 NW 54TH ST",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333514919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 NEWBERRY RD STE 301",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072557",
            "telephone_number": "352-372-9414",
            "fax_number": "352-271-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIS-JEAN",
        "first_name": "OLIVIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "PI0OM",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.