OLIVIA OPAL FLEETWOOD DNP, CRNA
NPI 1609569748
Nurse Anesthetist, Certified Registered in Portland, ME

Q: What is Olivia Fleetwood's NPI number?

The NPI number for Olivia Fleetwood is 1609569748. It was assigned to this individual provider in the NPPES registry on June 2, 2023. The provider is also known as Olivia Opal Boldoser Bsn, Rn.

Q: What is Olivia Fleetwood's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Olivia Fleetwood was last updated on June 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 02, 2023PECOS EnrolledAccepts Medicare Assignment

175 FORE RIVER PKWY, PORTLAND, ME 04102(207) 879-3000 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Olivia Opal Fleetwood Dnp, Crna NPPES

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

OLIVIA OPAL FLEETWOOD DNP, CRNA (NPI 1609569748) is an individual nurse anesthetist, certified registered in Portland, Maine, licensed in Maine (RNA233010) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Northern Light Health, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1609569748

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameOLIVIA OPAL FLEETWOODCredential: DNP, CRNA

Location Address175 FORE RIVER PKWYPortland, ME 04102-2779

Mailing Address94 Mellen St Ste 1Portland, ME 04101-2141 · (740) 803-0615

Phone(207) 879-3000

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 2, 2023

NPPES CertifiedJune 2, 2023

✔ NPI 1609569748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in ME · RNA233010

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

175 FORE RIVER PKWY, Portland, ME 04102

Open in Google Maps ↗

Other Names 1

Former Name (1)Olivia Opal Boldoser Bsn, Rn

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Olivia Opal Fleetwood Dnp, Crna 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 ID4789042334

PECOS Enrollment IDI20230614002262

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 Reassignment

Medicare enrollment records show Olivia Fleetwood reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Hospital

Same address

General Acute Care Hospital

175 FORE RIVER PKWY
Portland, ME 04102

Reassigned Medicare billing, Maine enrollment
322 clinicians in this Medicare group

NPI 1629078712 (207) 879-3000

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for procedure for total knee joint replacement 01402

Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.

16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northern Light Health

Acute Care Hospitals · Portland, ME

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number200008

Location144 State StreetPortland, ME 04101 · Cumberland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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

$128.83 typical visit price

range $56.28 – $169.96

Typical copayment $32.20 (range $14.07 – $42.49)

Most-billed visit code 99204

Established Patient

$70.13 typical visit price

range $18.22 – $138.92

Typical copayment $17.53 (range $4.55 – $34.73)

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.

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.

FRANCISCO MANUEL CALLES GARCIA M.D.

Family Medicine (Geriatric Medicine)