KATELYN OLDENBURG PA
NPI 1457637324
Physician Assistant in Jacksonville, FL

Q: What is Katelyn Oldenburg's NPI number?

The NPI number for Katelyn Oldenburg is 1457637324. It was assigned to this individual provider in the NPPES registry on October 24, 2011.

Q: What is Katelyn Oldenburg'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 Katelyn Oldenburg was last updated on February 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 24, 2011

76.2/100

CMS Quality Rating

4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 1, 2020, Dec 13, 2017, Dec 10, 2015 (3 updates tracked since 2015).

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About Katelyn Oldenburg Pa NPPES

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

KATELYN OLDENBURG PA (NPI 1457637324) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA9106063) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1457637324

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKATELYN OLDENBURGCredential: PA

Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865

Mailing Address4500 San Pablo Rd SJacksonville, FL 32224-1865

Phone(904) 953-2000

Sole ProprietorNo

Enumeration DateOctober 24, 2011

Last NPPES UpdateFebruary 13, 20243 updates tracked since enumeration

NPPES CertifiedFebruary 13, 2024

✔ NPI 1457637324 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 FL · PA9106063

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.

4500 SAN PABLO RD S, Jacksonville, FL 32224

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Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.2/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

69.33

Promoting Interoperability

100

Improvement Activities

Cost

51.32

Other Providers at the Same Location NPPES 20

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

KATHERINE L WALSH PA-C/MPH

Physician Assistant