OLIVIA NORA MESEROLE PA-C
NPI 1619605383
Physician Assistant in Fort Worth, TX

Q: What is Olivia Meserole's NPI number?

The NPI number for Olivia Meserole is 1619605383. It was assigned to this individual provider in the NPPES registry on August 10, 2022.

Q: What is Olivia Meserole'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 Olivia Meserole was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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 August 10, 2022PECOS Enrolled

815 PENNSYLVANIA AVE, FORT WORTH, TX 76104(817) 321-0404 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: May 7, 2025, Sep 8, 2022, Aug 10, 2022 (3 updates tracked since 2022).

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About Olivia Nora Meserole Pa-c NPPES

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

OLIVIA NORA MESEROLE PA-C (NPI 1619605383) is an individual physician assistant in Fort Worth, Texas, licensed in Texas (PA15938) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Medical City Dallas Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619605383

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameOLIVIA NORA MESEROLECredential: PA-C

Location Address815 PENNSYLVANIA AVEFort Worth, TX 76104-2294

Mailing Address1320 S University Dr Ste 500Fort Worth, TX 76107-5732 · (817) 321-0404

Phone(817) 321-0404

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 10, 2022

Last NPPES UpdateMay 7, 20253 updates tracked since enumeration

NPPES CertifiedMay 7, 2025

✔ NPI 1619605383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TX · PA15938

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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA15938 (TX)

815 PENNSYLVANIA AVE, Fort Worth, TX 76104

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Secondary Practice Locations 2

Location 1603 10th StGalveston, TX 77550-5113 · Phone (815) 721-7856

Location 23166 S State Highway 161 Ste 170Grand Prairie, TX 75052-7720 · Phone (972) 640-0005 · Fax (210) 314-5044

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan.Insurance ›

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 Nora Meserole Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698298073

PECOS Enrollment IDI20250326001898

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.

Hospital Affiliations CMS Care Compare

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

Medical City Dallas Hospital

Acute Care Hospitals · Dallas, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450647

Location7777 Forest LaneDallas, TX 75230 · Dallas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

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.

KELLY C STARKEY M.D.

Radiology (Diagnostic Radiology)