Individual provider Active NPI

Olivia Mershon Alborn, PA-C

  • Physician Assistant
  • Bensalem, PA
National Provider Identifier
1942843024
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA005071 Issued in PA
Practice address
1336 Bristol Pike Ste 103
Bensalem, PA 19020-5660
Phone
(215) 638-3444
NPI assigned
Oct 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA061209 PA
Physician Assistant 363A00000X OA005071 PA Primary

Addresses

Primary practice location

1336 Bristol Pike Ste 103
Bensalem, PA 19020-5660

Mailing address

1336 Bristol Pike Ste 103
Bensalem, PA 19020-5660
Phone (215) 638-3444

Other practice location 1

9922 Roosevelt Blvd
Philadelphia, PA 19115-1705
Phone (215) 516-6962

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20201105001577 PA Practitioner - Physician Assistant 1153731914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Physicians Group LLCGroup PAC ID 2769631621, 31 clinicians

Practice addresses (Care Compare)

1336 Bristol Pike
Bensalem, PA 19020-5660

339 E St Rd
Stoltz and Hahn Medical Associates
Trevose, PA 19053
Phone (215) 464-4111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA061209PAMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: olivia.alborn@607767797039108.direct.elationemr.com

Organizations & group practices 1

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": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1942843024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 BRISTOL PIKE STE 103",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205660",
            "telephone_number": "215-638-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 BRISTOL PIKE STE 103",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205660",
            "telephone_number": "215-638-3444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9922 Roosevelt Blvd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191151705",
            "country_code": "US",
            "telephone_number": "215-516-6962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALBORN",
        "first_name": "OLIVIA",
        "middle_name": "MERSHON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA061209",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA005071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

Verify at the official NPI Registry.