Individual provider Active NPI

Andrea Olave, PA-C

  • Medical Physician Assistant
  • West Palm Beach, FL
National Provider Identifier
1982283735
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9117500 Issued in FL
Practice address
1319 Barrington Dr
West Palm Beach, FL 33406-5004
Phone
(561) 452-2535
NPI assigned
Apr 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Medical Physician Assistant 363AM0700X PA9117500 FL Primary

Addresses

Primary practice location

1319 Barrington Dr
West Palm Beach, FL 33406-5004

Mailing address

1319 Barrington Dr
West Palm Beach, FL 33406-5004
Phone (561) 452-2535

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
I20230920002912 FL Practitioner - Physician Assistant 8921452251 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sage Infusion, LLCGroup PAC ID 1254660467, 44 clinicians
Radiology Associates of ClearwaterGroup PAC ID 5496732067, 54 clinicians

Practice addresses (Care Compare)

2055 Wood St
Suite 202
Sarasota, FL 34237-7929
Phone (941) 413-3280

601 Main St
Dunedin, FL 34698-5848
Phone (727) 734-6935

Hospital & facility affiliations

  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • Mease Dunedin Hospital Hospital, Dunedin, FL, CCN 100043

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9117500FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Infusion, LLC CurrentSince Nov 1, 2025 Accepting new patients
Observation Medical Group LLC CurrentSince Aug 30, 2023 Accepting new patients

Locations

8880 Gladiolus Dr
Ste C200
Fort Myers, FL 33908
Phone (239) 533-5962

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

2055 Wood St
Ste 202
Sarasota, FL 34237
Phone (941) 365-0655

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

4728 N Habana Ave
Ste 101B
Tampa, FL 33614
Phone (813) 775-9997

910 Old Camp Rd
Ste 196
The Villages, FL 32162
Phone (352) 565-5553

Organizations & group practices 7

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 2

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": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1982283735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 BARRINGTON DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065004",
            "telephone_number": "561-452-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 BARRINGTON DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065004",
            "telephone_number": "561-452-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAVE",
        "first_name": "ANDREA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9117500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.