ANGIE OLIVER
NPI 1720563695
Nurse Practitioner in San Francisco, CA

Q: What is Angie Oliver's NPI number?

The NPI number for Angie Oliver is 1720563695. It was assigned to this individual provider in the NPPES registry on September 26, 2018.

Q: What is Angie Oliver's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Angie Oliver was last updated on February 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 September 26, 2018PECOS EnrolledAccepts Medicare Assignment

78.28/100

CMS Quality Rating

333 1ST ST STE A, SAN FRANCISCO, CA 94105(707) 599-8691 Get Directions Write a Review

NPPES record last updated: February 15, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 15, 2025, Sep 17, 2024, Nov 15, 2023 and 3 more (6 updates tracked since 2018).

On this page

About Angie Oliver NPPES

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

ANGIE OLIVER (NPI 1720563695) is an individual nurse practitioner in San Francisco, California, licensed in California (NP95017373) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Hlth Center, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1720563695

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameANGIE OLIVER

Location Address333 1ST ST STE ASan Francisco, CA 94105-2661

Mailing Address7548 Preston Rd Ste 141Frisco, TX 75034-5689 · (727) 748-5158

Phone(707) 599-8691

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 26, 2018

Last NPPES UpdateFebruary 15, 20256 updates tracked since enumeration

NPPES CertifiedFebruary 15, 2025

✔ NPI 1720563695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in CA · NP95017373✔ Licensed in VT · 101-0135097

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 209017774 (IL)

333 1ST ST STE A, San Francisco, CA 94105

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Secondary Practice Location 1

Location 11276 N Clybourn AveChicago, IL 60610-2089 · Phone (312) 337-1073

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

Angie Oliver 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 ID7315377801

PECOS Enrollment IDI20230615002179, I20241119000016

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.

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140046

Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94105 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.28/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

71.31

Promoting Interoperability

Improvement Activities

Cost

45.47

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.

MRS. KILEA LANAY JOHNSON MSN, RN, FNP-C

Nurse Practitioner (Family)