ALISA OLMSTED
NPI 1750872313
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Q: What is Alisa Olmsted's NPI number?

The NPI number for Alisa Olmsted is 1750872313. It was assigned to this individual provider in the NPPES registry on May 19, 2018.

Q: What is Alisa Olmsted's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: Is Alisa Olmsted enrolled in Medicare?

No. Alisa Olmsted has opted out of Medicare through January 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Alisa Olmsted was last updated on May 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 May 19, 2018Opted out of Medicare · through Jan 2, 2028

833 CHESTNUT ST STE 210, PHILADELPHIA, PA 19107(215) 955-8420 Get Directions Write a Review

NPPES record last updated: May 19, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Alisa Olmsted NPPES

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

ALISA OLMSTED (NPI 1750872313) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since May 2018. She has opted out of Medicare through January 2, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1750872313

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameALISA OLMSTED

Location Address833 CHESTNUT ST STE 210Philadelphia, PA 19107-4405

Mailing Address833 Chestnut St Ste 210Philadelphia, PA 19107-4405 · (215) 955-8420

Phone(215) 955-8420

Sole ProprietorYes

Enumeration DateMay 19, 2018

✔ NPI 1750872313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

833 CHESTNUT ST STE 210, Philadelphia, PA 19107

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Alisa Olmsted has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 2, 2024 through January 2, 2028.

Opt-Out Effective DateJanuary 2, 2024

Opt-Out In Effect ThroughJanuary 2, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

ERIC GRAMSZLO

Student in an Organized Health Care Education/Training Program