OLIVIA GRACE CARPENTER
NPI 1104612589
Student in an Organized Health Care Education/Training Program in Wyoming, MI

Q: What is Olivia Carpenter's NPI number?

The NPI number for Olivia Carpenter is 1104612589. It was assigned to this individual provider in the NPPES registry on April 15, 2025.

Q: What is Olivia Carpenter's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Olivia Carpenter was last updated on April 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 15, 2025PECOS Enrolled

5900 BYRON CENTER AVE SW, WYOMING, MI 49519(616) 252-7200 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Olivia Grace Carpenter NPPES

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

OLIVIA GRACE CARPENTER (NPI 1104612589) is an individual student in an organized health care education/training program in Wyoming, Michigan, licensed in Michigan (5151017191) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104612589

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameOLIVIA GRACE CARPENTER

Location Address5900 BYRON CENTER AVE SWWyoming, MI 49519-9606

Mailing Address5900 Byron Center Ave SwWyoming, MI 49519-9606 · (616) 252-7078 · Fax (616) 252-4953

Phone(616) 252-7200

Sole ProprietorYes

Enumeration DateApril 15, 2025

NPPES CertifiedApril 15, 2025

✔ NPI 1104612589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in MI · 5151017191

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5900 BYRON CENTER AVE SW, Wyoming, MI 49519

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olivia Grace Carpenter 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.

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