1. Home
  2. Directory
  3. Florida
  4. Brandon
  5. Physician Assistant
  6. NPI Profile

MRS. GENESIS OLIVER PA
NPI 1164301008
Physician Assistant - Medical in Brandon, FL

Active since August 27, 2025PECOS Enrolled
313 S LAKEWOOD DR, BRANDON, FL 33511(813) 653-6100 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Genesis Oliver Pa NPPES

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

MRS. GENESIS OLIVER PA (NPI 1164301008) is an individual medical provider in Brandon, Florida, licensed in Florida (9120625) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1164301008
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. GENESIS OLIVERCredential: PA
Location Address313 S LAKEWOOD DRBrandon, FL 33511-2815
Mailing Address313 S Lakewood DrBrandon, FL 33511-2815 · (305) 606-6108
Phone(813) 653-6100
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 27, 2025
Last NPPES UpdateSeptember 3, 2025
NPPES CertifiedSeptember 3, 2025
✔ NPI 1164301008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · 9120625
Also ListedPhysician AssistantTaxonomy 363A00000X · License 9120625 (FL)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 9120625 (FL)
313 S LAKEWOOD DR, Brandon, FL 33511
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Genesis Oliver Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911496534
PECOS Enrollment IDI20251031004258
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.

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.

DR. AUFIA ZHOWANDAI DDS
Student in an Organized Health Care Education/Training Program
313 S LAKEWOOD DR
BRANDON, FL 33511
Hillsborough County (813) 653-6100
SUNCOAST COMMUNITY HEALTH CENTERS, INC
Clinic/Center (Dental)
313 S LAKEWOOD DR
BRANDON, FL 33511
Hillsborough County (813) 349-7900
DR. MAYRA ESPINOSA DNP, APRN, FNP-BC
Nurse Practitioner (Family)
313 S LAKEWOOD DR
BRANDON, FL 33511
Hillsborough County (813) 349-7900
GINA MARIE CANTATORE
Student in an Organized Health Care Education/Training Program
313 S LAKEWOOD DR
BRANDON, FL 33511
Hillsborough County (813) 349-7900
ERICA VICE
Dentist (Pediatric Dentistry)
313 S LAKEWOOD DR
BRANDON, FL 33511
Hillsborough County (813) 653-6271
MRS. LUZ M TORRES MD
Pediatrics
313 S LAKEWOOD DR
BRANDON, FL 33511
Hillsborough County (813) 349-7900
JOAO CLEBES DOS SANTOS FONTOURA JR. M.D.
Internal Medicine
313 S LAKEWOOD DR
BRANDON, FL 33511
Hillsborough County (813) 653-6100
MONICA S KENNEDY O.D.
Optometrist
313 S LAKEWOOD DR
BRANDON, FL 33511
Hillsborough County (813) 653-6100

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 Genesis Oliver's NPI number?

The NPI number for Genesis Oliver is 1164301008. It was assigned to this individual provider in the NPPES registry on August 27, 2025.

Where is Genesis Oliver located?

Genesis Oliver practices at 313 S Lakewood Dr, Brandon, FL 33511. The listed phone number is (813) 653-6100.

What is Genesis Oliver's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Genesis Oliver enrolled in Medicare?

Yes. Genesis Oliver is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Genesis Oliver was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.