ALYSSA OLSEN
NPI 1770933541
Physician Assistant - Surgical in Manchester, CT

Active since June 13, 2016PECOS EnrolledAccepts Medicare Assignment
71 HAYNES ST, MANCHESTER, CT 06040(860) 646-1222 Get Directions Write a Review

NPPES record last updated: August 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alyssa Olsen NPPES

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

ALYSSA OLSEN (NPI 1770933541) is an individual surgical provider in Manchester, Connecticut, licensed in Connecticut (23.003596) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1770933541
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameALYSSA OLSEN
Location Address71 HAYNES STManchester, CT 06040-4131
Mailing Address71 Haynes StManchester, CT 06040-4131
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 13, 2016
Last NPPES UpdateAugust 3, 2016
NPI 1770933541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CT · 23.003596
71 HAYNES ST, Manchester, CT 06040

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

Alyssa Olsen 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 ID6002102126
PECOS Enrollment IDI20160915000852
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.

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.

Emergency Medicine
71 HAYNES ST
MANCHESTER, CT 06040
Social Worker (Clinical)
71 HAYNES ST, BEHAVIORAL HEALTH UNIT
MANCHESTER, CT 06040
Emergency Medicine
71 HAYNES ST
MANCHESTER, CT 06040
Physician Assistant
71 HAYNES ST
MANCHESTER, CT 06040
Student in an Organized Health Care Education/Training Program
71 HAYNES ST
MANCHESTER, CT 06040
Psychiatry & Neurology (Child & Adolescent Psychiatry)
71 HAYNES ST
MANCHESTER, CT 06040
Physician Assistant (Surgical)
71 HAYNES ST
MANCHESTER, CT 06040
Psychiatry & Neurology (Psychiatry)
71 HAYNES ST, MMH
MANCHESTER, CT 06040

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 Alyssa Olsen's NPI number?

The NPI number for Alyssa Olsen is 1770933541. It was assigned to this individual provider in the NPPES registry on June 13, 2016.

Where is Alyssa Olsen located?

Alyssa Olsen practices at 71 Haynes St, Manchester, CT 06040. The listed phone number is (860) 646-1222.

What is Alyssa Olsen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Alyssa Olsen enrolled in Medicare?

Yes. Alyssa Olsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Alyssa Olsen was last updated on August 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.