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OLIVIA K HALVORSON APRN
NPI 1063989945
Nurse Practitioner - Family in Rocky Hill, CT

Active since October 29, 2018PECOS Enrolled
175 CAPITAL BLVD STE 402458, ROCKY HILL, CT 06067(860) 421-9172 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 4, 2021, Oct 29, 2018 (2 updates tracked since 2018).

About Olivia K Halvorson Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLIVIA K HALVORSON APRN (NPI 1063989945) is an individual family provider in Rocky Hill, Connecticut, licensed in Connecticut (10384) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063989945
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameOLIVIA K HALVORSONCredential: APRN
Location Address175 CAPITAL BLVD STE 402458Rocky Hill, CT 06067-3914
Mailing Address26 Peach Tree RdGlastonbury, CT 06033-3646 · (865) 712-1582
Phone(860) 421-9172
Sole ProprietorNo
Enumeration DateOctober 29, 2018
Last NPPES UpdateFebruary 28, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2024
✔ NPI 1063989945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CT · 10384
Also ListedRegistered NurseTaxonomy 163W00000X · License 187076 (CT)
175 CAPITAL BLVD STE 402458, Rocky Hill, CT 06067
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olivia K Halvorson Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Olivia Halvorson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Integrated Wound Care Connecticut PLLC
47 mi
General Practice
930 MILL HILL TER
Southport, CT 06890
  • Reassigned Medicare billing, Connecticut enrollment
  • 11 clinicians in this Medicare group
NPI 1649778762 (718) 705-6010
Matrix Medical Plus
848 mi
Nurse Practitioner
424 CHURCH ST STE 2600
Nashville, TN 37219
  • Reassigned Medicare billing, Connecticut enrollment
  • 79 clinicians in this Medicare group
NPI 1376973461 (877) 564-3627
Global Wound Care Medical Group
2,527 mi
General Practice
5901 W CENTURY BLVD STE 750
Los Angeles, CA 90045
  • Reassigned Medicare billing, Connecticut enrollment
  • 6 clinicians in this Medicare group
NPI 1235831132 (323) 480-4075

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
110 services20 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
95 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06067 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olivia Halvorson's NPI number?

The NPI number for Olivia Halvorson is 1063989945. It was assigned to this individual provider in the NPPES registry on October 29, 2018.

Where is Olivia Halvorson located?

Olivia Halvorson practices at 175 Capital Blvd Ste 402458, Rocky Hill, CT 06067. The listed phone number is (860) 421-9172.

What is Olivia Halvorson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Olivia Halvorson enrolled in Medicare?

Yes. Olivia Halvorson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Olivia Halvorson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olivia Halvorson reassigns Medicare benefits to 3 organizations: Integrated Wound Care Connecticut PLLC (Southport, CT), Matrix Medical Plus (Nashville, TN) and Global Wound Care Medical Group (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Olivia Halvorson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Olivia Halvorson was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.