INGRID M OLSSON PA-C
NPI 1477062693
Physician Assistant - Surgical in Pomona, CA

Active since September 20, 2017PECOS EnrolledAccepts Medicare Assignment
255 E BONITA AVE BLDG 9, POMONA, CA 91767(909) 301-8897 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2021, Nov 10, 2021, Sep 5, 2019 and 1 more (4 updates tracked since 2017).

About Ingrid M Olsson Pa-c NPPES

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

INGRID M OLSSON PA-C (NPI 1477062693) is an individual surgical provider in Pomona, California, licensed in New Hampshire (1516) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1477062693
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameINGRID M OLSSONCredential: PA-C
Location Address255 E BONITA AVE BLDG 9Pomona, CA 91767-1923
Mailing Address11100 4th St Apt G306Rancho Cucamonga, CA 91730-0909 · (603) 718-4179
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 20, 2017
Last NPPES UpdateDecember 16, 20214 updates tracked since enumeration
NPPES CertifiedDecember 16, 2021
NPI 1477062693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NH · 1516
255 E BONITA AVE BLDG 9, Pomona, CA 91767

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

Ingrid M Olsson 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 ID9335408830
PECOS Enrollment IDI20211206000344
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.

Other Providers at the Same Location NPPES 5

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

Physician Assistant
255 E BONITA AVE BLDG 9
POMONA, CA 91767
Neurological Surgery
255 E BONITA AVE BLDG 9
POMONA, CA 91767
Physician Assistant
255 E BONITA AVE BLDG 9
POMONA, CA 91767
Neurological Surgery
255 E BONITA AVE BLDG 9
POMONA, CA 91767
Neurological Surgery
255 E BONITA AVE BLDG 9
POMONA, CA 91767

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 Ingrid Olsson's NPI number?

The NPI number for Ingrid Olsson is 1477062693. It was assigned to this individual provider in the NPPES registry on September 20, 2017.

Where is Ingrid Olsson located?

Ingrid Olsson practices at 255 E Bonita Ave Bldg 9, Pomona, CA 91767. The listed phone number is (909) 301-8897.

What is Ingrid Olsson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Ingrid Olsson enrolled in Medicare?

Yes. Ingrid Olsson 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.

When was this NPI record last updated?

The NPPES record for Ingrid Olsson was last updated on December 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.