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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MISS OLIVIA MARIE COUNTRYMAN PA-C
NPI 1245188762
Physician Assistant in Greenwood, IN

Active since March 19, 2026PECOS Enrolled
701 E COUNTY LINE RD STE 302, GREENWOOD, IN 46143(317) 434-4637 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2026, Mar 19, 2026 (2 updates tracked since 2026).

About Miss Olivia Marie Countryman Pa-c NPPES

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

MISS OLIVIA MARIE COUNTRYMAN PA-C (NPI 1245188762) is an individual physician assistant in Greenwood, Indiana, licensed in Indiana (10005371A) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245188762
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMISS OLIVIA MARIE COUNTRYMANCredential: PA-C
Location Address701 E COUNTY LINE RD STE 302Greenwood, IN 46143-1071
Mailing Address111 New Hampshire Ave Ste 2Portsmouth, NH 03801-2864 · (330) 947-6021
Phone(317) 434-4637
Sole ProprietorNo
Enumeration DateMarch 19, 2026
Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1245188762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IN · 10005371A
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.
701 E COUNTY LINE RD STE 302, Greenwood, IN 46143
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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)

Miss Olivia Marie Countryman Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46143 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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

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

JACOB B WALL PA-C
Physician Assistant
701 E COUNTY LINE RD STE 302
GREENWOOD, IN 46143
Johnson County (317) 859-8970

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 Countryman's NPI number?

The NPI number for Olivia Countryman is 1245188762. It was assigned to this individual provider in the NPPES registry on March 19, 2026.

Where is Olivia Countryman located?

Olivia Countryman practices at 701 E County Line Rd Ste 302, Greenwood, IN 46143. The listed phone number is (317) 434-4637.

What is Olivia Countryman's specialty?

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

Is Olivia Countryman enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Olivia Countryman was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 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.