Karen Olmo, PA
Individual provider Active NPI Physician Assistant · Portsmouth, VA
NPI 1992243646 · NPPES record last updated Feb 2, 2017
Key facts
- NPI
- 1992243646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0110005493 (VA)
- Practice address
- 3315 High St
Portsmouth, VA 23707-3319 - Phone
- (757) 399-0759
- Fax
- (757) 397-5368
- NPI assigned
- Feb 2, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Dr Arun K Gupta PC
Practice addresses (Care Compare)
9306 Forest Point Cir
Manassas, VA 20110-4700
Phone (703) 330-3322
9306 Forest Point Circle
Manassas, VA 20110-4700
Hospital & facility affiliations
- Bayada Home Health Care Inc
- Prospect Homecare Agency
- Bayada Home Health Care Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA, DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170410000548 | VA | Practitioner - Physician Assistant | 6800172669 | Reassigns benefits to 1 organization |
| I20190711000709 | DC | Practitioner - Physician Assistant | 6800172669 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manassas Primary Care, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110005493 | VA | Yes |
Addresses
Primary practice location
3315 High St
Portsmouth, VA 23707-3319
Mailing address
3315 High St
Portsmouth, VA 23707-3319
Phone (757) 399-0759
Other providers in Portsmouth, VA
- Olde Towne Medical Practice PLLC
- Olive Home Group, LLC
- Kate Eleanor Oliver
- Lola Jayne Oliver
- Ollivier Community Circle
- Aaron Olsen
- Jill Omali
- William E Omalley
- On the Way Transportation LLC
- On Track Healthcare LLC
All providers in Portsmouth, VA · Physician Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.