OLIVIA PETRASEK PA-C
NPI 1558197350
Physician Assistant - Medical in Philadelphia, PA

Active since September 10, 2024PECOS Enrolled
800 WASHINGTON AVE, PHILADELPHIA, PA 19147(215) 339-5100 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 25, 2024, Sep 13, 2024 (2 updates tracked since 2024).

About Olivia Petrasek Pa-c NPPES

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

OLIVIA PETRASEK PA-C (NPI 1558197350) is an individual medical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA065871) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558197350
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameOLIVIA PETRASEKCredential: PA-C
Location Address800 WASHINGTON AVEPhiladelphia, PA 19147-4717
Mailing Address1401 S 31st St Fl 2Philadelphia, PA 19146-3506
Sole ProprietorNo
Enumeration DateSeptember 10, 2024
Last NPPES UpdateSeptember 25, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2024
NPI 1558197350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in PA · MA065871
Also ListedPhysician AssistantTaxonomy 363A00000X · License MA065871 (PA)
800 WASHINGTON AVE, Philadelphia, PA 19147

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Olivia Petrasek Pa-c 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.

Other Providers at the Same Location NPPES 14

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

Dentist (General Practice)
800 WASHINGTON AVE
PHILADELPHIA, PA 19147
Pediatrics
800 WASHINGTON AVE
PHILA, PA 19147
Dietitian, Registered
800 WASHINGTON AVE
PHILADELPHIA, PA 19147
Nurse Practitioner (Family)
800 WASHINGTON AVE
PHILADELPHIA, PA 19147
Dental Hygienist
800 WASHINGTON AVE
PHILADELPHIA, PA 19147
Clinic/Center (Federally Qualified Health Center (FQHC))
800 WASHINGTON AVE
PHILADELPHIA, PA 19147
Nurse Practitioner (Family)
800 WASHINGTON AVE
PHILADELPHIA, PA 19147
Dental Hygienist
800 WASHINGTON AVE
PHILADELPHIA, PA 19147

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 Petrasek's NPI number?

The NPI number for Olivia Petrasek is 1558197350. It was assigned to this individual provider in the NPPES registry on September 10, 2024.

Where is Olivia Petrasek located?

Olivia Petrasek practices at 800 Washington Ave, Philadelphia, PA 19147. The listed phone number is (215) 339-5100.

What is Olivia Petrasek's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Olivia Petrasek enrolled in Medicare?

Yes. Olivia Petrasek is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olivia Petrasek was last updated on September 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.