OLIVIA JANE CUSUMANO PA-C
NPI 1306522776
Physician Assistant in Okemos, MI

Q: What is Olivia Cusumano's NPI number?

The NPI number for Olivia Cusumano is 1306522776. It was assigned to this individual provider in the NPPES registry on June 22, 2023.

Q: What is Olivia Cusumano'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 Cusumano was last updated on October 11, 2023. 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.

Active since June 22, 2023PECOS EnrolledAccepts Medicare Assignment

3413 WOODS EDGE, OKEMOS, MI 48864(517) 349-3303 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2023, Aug 29, 2023, Jun 22, 2023 (3 updates tracked since 2023).

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About Olivia Jane Cusumano Pa-c NPPES

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

OLIVIA JANE CUSUMANO PA-C (NPI 1306522776) is an individual physician assistant in Okemos, Michigan, licensed in Michigan (5601011837) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1306522776

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameOLIVIA JANE CUSUMANOCredential: PA-C

Location Address3413 WOODS EDGEOkemos, MI 48864-5901

Mailing Address3413 Woods EdgeOkemos, MI 48864-5901 · (517) 349-3303

Phone(517) 349-3303

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 22, 2023

Last NPPES UpdateOctober 11, 20233 updates tracked since enumeration

NPPES CertifiedOctober 11, 2023

✔ NPI 1306522776 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 MI · 5601011837

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.

3413 WOODS EDGE, Okemos, MI 48864

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

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

Olivia Jane Cusumano Pa-c 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 ID4385008952

PECOS Enrollment IDI20230914003233

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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

58 services35 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

22 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48864 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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Other Providers at the Same Location NPPES 11

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

MR. KIPP EDWARD RUSTENHOLTZ PA-C

Physician Assistant