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OLIVIA MARIE CASSITY FNP-C
NPI 1275397713
Nurse Practitioner in South Jordan, UT

Active since February 06, 2024Opted out of Medicare · through Feb 26, 2028
10577 S REDWOOD RD STE 109, SOUTH JORDAN, UT 84095(801) 559-7455 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Olivia Marie Cassity Fnp-c NPPES

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

OLIVIA MARIE CASSITY FNP-C (NPI 1275397713) is an individual nurse practitioner in South Jordan, Utah, licensed in Utah (9799959-4405) and active in the NPI registry since February 2024. She has opted out of Medicare through February 26, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1275397713
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameOLIVIA MARIE CASSITYCredential: FNP-C
Location Address10577 S REDWOOD RD STE 109South Jordan, UT 84095-8504
Mailing Address10577 S Redwood Rd Ste 109South Jordan, UT 84095-8504
Phone(801) 559-7455
Sole ProprietorNo
Enumeration DateFebruary 6, 2024
NPPES CertifiedFebruary 6, 2024
✔ NPI 1275397713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in UT · 9799959-4405
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
10577 S REDWOOD RD STE 109, South Jordan, UT 84095
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Other Names 1

Former Name (1)Olivia Marie Hammouri

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Olivia Marie Cassity Fnp-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 26, 2026 through February 26, 2028.

Opt-Out Effective DateFebruary 26, 2026
Opt-Out In Effect ThroughFebruary 26, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84095 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 Cassity's NPI number?

The NPI number for Olivia Cassity is 1275397713. It was assigned to this individual provider in the NPPES registry on February 6, 2024. The provider is also known as Olivia Marie Hammouri.

Where is Olivia Cassity located?

Olivia Cassity practices at 10577 S Redwood Rd Ste 109, South Jordan, UT 84095. The listed phone number is (801) 559-7455.

What is Olivia Cassity's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Olivia Cassity enrolled in Medicare?

No. Olivia Cassity has opted out of Medicare through February 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Olivia Cassity was last updated on February 6, 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.