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MRS. OLIVIA O'MALLEY NP
NPI 1669186615
Nurse Practitioner - Pediatrics in Lake Ronkonkoma, NY

Active since January 12, 2023PECOS Enrolled
6 GLEN DR, LAKE RONKONKOMA, NY 11779(631) 774-9793 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mrs. Olivia O'malley Np NPPES

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

MRS. OLIVIA O'MALLEY NP (NPI 1669186615) is an individual pediatrics provider in Lake Ronkonkoma, New York, licensed in New York (F383479-01) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669186615
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. OLIVIA O'MALLEYCredential: NP
Location Address6 GLEN DRLake Ronkonkoma, NY 11779-1506
Mailing Address6 Glen DrLake Ronkonkoma, NY 11779-1506 · (631) 774-9793
Phone(631) 774-9793
Sole ProprietorNo
Enumeration DateJanuary 12, 2023
NPPES CertifiedJanuary 12, 2023
✔ NPI 1669186615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · F383479-01
6 GLEN DR, Lake Ronkonkoma, NY 11779
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Olivia O'malley Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11779 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 O'malley's NPI number?

The NPI number for Olivia O'malley is 1669186615. It was assigned to this individual provider in the NPPES registry on January 12, 2023.

Where is Olivia O'malley located?

Olivia O'malley practices at 6 Glen Dr, Lake Ronkonkoma, NY 11779. The listed phone number is (631) 774-9793.

What is Olivia O'malley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Olivia O'malley enrolled in Medicare?

Yes. Olivia O'malley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olivia O'malley was last updated on January 12, 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.