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MRS. OLIVIA MACKENZIE KING PA
NPI 1366276149
Physician Assistant in South Bend, IN

Active since August 26, 2024PECOS EnrolledAccepts Medicare Assignment
4322 LAFAYETTE BLVD., SOUTH BEND, IN 46614(574) 391-1111(574) 859-5040 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Olivia Mackenzie King Pa NPPES

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

MRS. OLIVIA MACKENZIE KING PA (NPI 1366276149) is an individual physician assistant in South Bend, Indiana and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1366276149
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. OLIVIA MACKENZIE KINGCredential: PA
Location Address4322 LAFAYETTE BLVD.South Bend, IN 46614
Mailing Address4322 Lafayette Blvd.South Bend, IN 46614 · (574) 391-1111 · Fax (574) 859-5040
Phone(574) 391-1111
Fax(574) 859-5040
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 26, 2024
NPPES CertifiedAugust 1, 2024
✔ NPI 1366276149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
4322 LAFAYETTE BLVD., South Bend, IN 46614
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Mrs. Olivia Mackenzie King Pa 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 ID840727608
PECOS Enrollment IDI20241218002773
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 46614 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.

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 King's NPI number?

The NPI number for Olivia King is 1366276149. It was assigned to this individual provider in the NPPES registry on August 26, 2024.

Where is Olivia King located?

Olivia King practices at 4322 Lafayette Blvd., South Bend, IN 46614. The listed phone number is (574) 391-1111.

What is Olivia King's specialty?

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

Is Olivia King enrolled in Medicare?

Yes. Olivia King is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Olivia King accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Olivia King as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Olivia King was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.