Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

OLIVIA MAN
NPI 1972200772
Student in an Organized Health Care Education/Training Program in New Haven, CT

Active since February 13, 2023PECOS Enrolled
20 YORK ST, NEW HAVEN, CT 06510(203) 688-4242 Get Directions Write a Review

NPPES record last updated: July 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 26, 2026, Aug 14, 2024, Oct 26, 2023 and 2 more (5 updates tracked since 2023).

About Olivia Man NPPES

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

OLIVIA MAN (NPI 1972200772) is an individual student in an organized health care education/training program in New Haven, Connecticut and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Hospital Rochester, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1972200772
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameOLIVIA MAN
Location Address20 YORK STNew Haven, CT 06510-3220
Mailing Address20 York StNew Haven, CT 06510-3220 · (203) 688-4242
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2023
Enumeration DateFebruary 13, 2023
Last NPPES UpdateJuly 26, 20265 updates tracked since enumeration
NPPES CertifiedJuly 26, 2026
NPI 1972200772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 77591 (MN), 33488 (MN)
20 YORK ST, New Haven, CT 06510

Secondary Practice Locations 2

Location 1885 Tiverton DriveLos Angeles, CA 90095-0001 · Phone (310) 825-6373
Location 2200 1st St SWRochester, MN 55905-0001 · Phone (507) 284-2511

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 Man 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 ID547626285
PECOS Enrollment IDI20240829000392
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.

Mayo Clinic Hospital Rochester

Acute Care Hospitals · Rochester, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240010
Location1216 Second Street SouthwestRochester, MN 55902 · Olmsted County
Emergency services Birthing friendly

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.

Nurse Practitioner (Family)
20 YORK ST
NEW HAVEN, CT 06510
Pediatrics (Neonatal-Perinatal Medicine)
20 YORK ST, DEPT OF NEONATOLOGY
NEW HAVEN, CT 06510
Durable Medical Equipment & Medical Supplies (Customized Equipment)
20 YORK ST
NEW HAVEN, CT 06510
Dietitian, Registered
20 YORK ST, FOOD AND NUTRITION EPB806
NEW HAVEN, CT 06510
Hospitalist
20 YORK ST
NEW HAVEN, CT 06510
Psychiatry & Neurology (Neurology)
20 YORK ST
NEW HAVEN, CT 06510
Internal Medicine (Nephrology)
20 YORK ST
NEW HAVEN, CT 06510
Obstetrics & Gynecology
20 YORK ST
NEW HAVEN, CT 06510

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 Man's NPI number?

The NPI number for Olivia Man is 1972200772. It was assigned to this individual provider in the NPPES registry on February 13, 2023.

Where is Olivia Man located?

Olivia Man practices at 20 York St, New Haven, CT 06510. The listed phone number is (203) 688-4242.

What is Olivia Man's specialty?

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

Is Olivia Man enrolled in Medicare?

Yes. Olivia Man 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.

Is Olivia Man affiliated with any hospitals?

According to CMS data, Olivia Man is affiliated with Mayo Clinic Hospital Rochester.

When was this NPI record last updated?

The NPPES record for Olivia Man was last updated on July 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.