OLIVIA MANNIX PA
NPI 1861388951
Physician Assistant - Medical in New York, NY

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

Active since June 16, 2025PECOS EnrolledAccepts Medicare Assignment

535 W 110TH ST APT 1E, NEW YORK, NY 10025(212) 280-4740 Get Directions Write a Review

NPPES record last updated: December 26, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 26, 2025, Sep 11, 2025, Jun 16, 2025 (3 updates tracked since 2025).

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About Olivia Mannix Pa NPPES

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

OLIVIA MANNIX PA (NPI 1861388951) is an individual medical provider in New York, New York, licensed in New York (034116) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1861388951

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameOLIVIA MANNIXCredential: PA

Location Address535 W 110TH ST APT 1ENew York, NY 10025-2021

Mailing Address535 W 110th St Apt 1eNew York, NY 10025-2021 · (212) 280-4740

Phone(212) 280-4740

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateJune 16, 2025

Last NPPES UpdateDecember 26, 20253 updates tracked since enumeration

NPPES CertifiedDecember 26, 2025

✔ NPI 1861388951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 034116

Also ListedPhysician AssistantTaxonomy 363A00000X · License 034116 (NY)

535 W 110TH ST APT 1E, New York, NY 10025

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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 and accepts Medicare assignment

Olivia Mannix Pa 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 ID3375048168

PECOS Enrollment IDI20250923003831, I20251021003840

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.