Vanessa R. Olds, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5604 Issued in AZ

Practice address

13733 N Prasada Pkwy Ste 100
Surprise, AZ 85388-8014

Phone

(623) 444-7100

Fax

(623) 748-9003

NPI assigned

Jan 21, 2014

Sex

Female

Sole proprietor

No

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 AZ

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

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Afc of Surprise, PLLC 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Afc of Surprise, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Surprise, AZ
  • NPI 1255912721

  AZ

  Medicare reassignment Care Compare group NPD
• Afc of East Mesa, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Mesa, AZ
  • NPI 1972256857

  AZ

  Medicare reassignment NPD
• Afc of Peoria, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Peoria, AZ
  • NPI 1154668044

  AZ

  Medicare reassignment NPD
• Afc of Phoenix, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Phoenix, AZ
  • NPI 1619392362

  AZ

  Medicare reassignment NPD
• Afc of Tempe PLLC

  • Physical Medicine & Rehabilitation Physician
  • Tempe, AZ
  • NPI 1255879854

  AZ

  Medicare reassignment NPD
• Afc Physical Medicine of Desert Ridge,PLLC

  • Physical Medicine & Rehabilitation Physician
  • Phoenix, AZ
  • NPI 1669731303

  AZ

  Medicare reassignment NPD
• Afc Physical Medicine of Gilbert, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Gilbert, AZ
  • NPI 1528345881

  AZ

  Medicare reassignment NPD
• Afc Physical Medicine of Mesa, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Mesa, AZ
  • NPI 1659645679

  AZ

  Medicare reassignment NPD
• Afc Physical Medicine of San Tan Valley, PLLC

  • Physical Medicine & Rehabilitation Physician
  • San Tan Valley, AZ
  • NPI 1457638603

  AZ

  Medicare reassignment NPD
• Az Family Chiropractic LLC

  • Chiropractor
  • Gilbert, AZ
  • NPI 1376609339
  NPD (past)
• West Valley Medical LLC

  • General Practice Physician
  • Surprise, AZ
  • NPI 1922774520

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1861815250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13733 N PRASADA PKWY STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853888014",
            "telephone_number": "623-444-7100",
            "fax_number": "623-748-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13733 N PRASADA PKWY STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853888014",
            "telephone_number": "623-444-7100",
            "fax_number": "623-748-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDS",
        "first_name": "VANESSA",
        "middle_name": "R.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-21",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ogechi Ann Ohia, AGACNP-BC
• Kartikeya Ojha, MBBS
• Onyinyechukwu Crystal Okafor
• Kalu Okorie
• Favour Nkiru Okwoli
• Francisca Melissa Olibarria, FNP-C
• Augusta Ollech, PT, DPT
• Jesse M Olmedo, MD
• Olosoma Therapy Services, Inc
• Darren Dee Olson, D.C.

• All providers in Surprise, AZ
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.