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OLIVIA MAE MAXAM FNP-BC ACNP-BC NPI 1568941532


NPI Information

NPI: 1568941532
Provider Name: OLIVIA MAE MAXAM, FNP-BC, ACNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2 NEW HAMPSHIRE AVE
TROY, NY
ZIP 12180
Phone: (518) 272-0331
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Olivia Mae Maxam, FNP-BC, ACNP-BC is a family nurse practitioner in Troy, NY with 6 years of experience. Olivia Mae Maxam, FNP-BC, ACNP-BC NPI is 1568941532. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2 NEW HAMPSHIRE AVE
TROY, NY
ZIP 12180-764
Phone: (518) 272-0331
Fax: (518) 271-9007

The NPI 1568941532 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Automated urinalysis test (HCPCS:81003)

The enumeration date for this NPI number is 8/10/2018 and was last updated on 8/5/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyF343009NEW YORKNo
2363LF0000XNurse PractitionerFamily343009NEW YORKYes
3363LA2100XNurse PractitionerAcute Care431665NEW YORKNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
105267405MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.