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MR. MARK VINCENT OLIVAREZ MSN FNP
NPI 1396295325
Nurse Practitioner - Family in Burbank, CA

Active since October 14, 2016PECOS Enrolled
1817 N KENWOOD ST, BURBANK, CA 91505(323) 540-3417 Get Directions Write a Review

NPPES record last updated: October 23, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 23, 2021, Oct 14, 2016 (2 updates tracked since 2016).

About Mr. Mark Vincent Olivarez Msn Fnp NPPES

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

MR. MARK VINCENT OLIVAREZ MSN FNP (NPI 1396295325) is an individual family provider in Burbank, California, licensed in California (95005145) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396295325
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. MARK VINCENT OLIVAREZCredential: MSN FNP
Location Address1817 N KENWOOD STBurbank, CA 91505-1418
Mailing Address1817 N Kenwood StBurbank, CA 91505-1418 · (323) 540-3417
Phone(323) 540-3417
Sole ProprietorYes
Enumeration DateOctober 14, 2016
Last NPPES UpdateOctober 23, 20212 updates tracked since enumeration
NPPES CertifiedOctober 23, 2021
✔ NPI 1396295325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95005145
1817 N KENWOOD ST, Burbank, CA 91505
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Mark Vincent Olivarez Msn Fnp 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mark Olivarez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group
2.4 mi
Clinical Medical Laboratory
11668 SHERMAN WAY
N Hollywood, CA 91605
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1891873303 (818) 503-6800
Valley Presbyterian Emergency Medical Associates
6.4 mi
Emergency Medicine
15107 VANOWEN ST
Van Nuys, CA 91405
  • Reassigned Medicare billing, California enrollment
  • 86 clinicians in this Medicare group
NPI 1033133103 (310) 321-0143

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91505 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES

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

RISA QUINTO OLIVAREZ RN
Registered Nurse
1817 N KENWOOD ST
BURBANK, CA 91505
Los Angeles County (626) 380-6552

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 Mark Olivarez's NPI number?

The NPI number for Mark Olivarez is 1396295325. It was assigned to this individual provider in the NPPES registry on October 14, 2016.

Where is Mark Olivarez located?

Mark Olivarez practices at 1817 N Kenwood St, Burbank, CA 91505. The listed phone number is (323) 540-3417.

What is Mark Olivarez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mark Olivarez enrolled in Medicare?

Yes. Mark Olivarez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mark Olivarez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Olivarez reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (N Hollywood, CA) and Valley Presbyterian Emergency Medical Associates (Van Nuys, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Olivarez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Olivarez was last updated on October 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.