Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. OLIVIA NICOLE RUTKOWSKI PA
NPI 1104402163
Physician Assistant in Buffalo, NY

Q: What is Olivia Rutkowski's NPI number?

The NPI number for Olivia Rutkowski is 1104402163. It was assigned to this individual provider in the NPPES registry on March 21, 2021. The provider is also known as Ms. Olivia Nicole Rutkowski PA.

Q: What is Olivia Rutkowski's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Olivia Rutkowski was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.

Active since March 21, 2021PECOS Enrolled

ELM AND CARLTON ST, BUFFALO, NY 14263(716) 845-2300 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 17, 2026, Mar 23, 2021, Mar 21, 2021 (3 updates tracked since 2021).

On this page

About Ms. Olivia Nicole Rutkowski Pa NPPES

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

MS. OLIVIA NICOLE RUTKOWSKI PA (NPI 1104402163) is an individual physician assistant in Buffalo, New York and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104402163

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. OLIVIA NICOLE RUTKOWSKICredential: PA

Location AddressELM AND CARLTON STBuffalo, NY 14263-0001

Mailing AddressElm And Carlton StBuffalo, NY 14263-0001 · (716) 845-2300

Phone(716) 845-2300

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 21, 2021

Last NPPES UpdateAugust 17, 20263 updates tracked since enumeration

NPPES CertifiedAugust 17, 2026

✔ NPI 1104402163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

ELM AND CARLTON ST, Buffalo, NY 14263

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Other Names 1

Professional Name (2)Ms. Olivia Nicole Rutkowski Pa

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Olivia Nicole Rutkowski Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618385741

PECOS Enrollment IDI20210409000613

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.

Areas of Expertise CMS Part B claims

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

66 services43 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kaleida Health

Acute Care Hospitals · Buffalo, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330005

Location100 High StreetBuffalo, NY 14210 · Erie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14263 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE DOYLE MCCARTHY PA

Physician Assistant