Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Olivia Jackson

Individual provider Physician Assistant · NPI 1154944791

Olivia Jackson is a Physician Assistant in New York, New York. Qualified in 2021, 5 years ago. Practices with Vitalcare Health Services PC, a 44-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
5
Licensed in
UT
In the registry since
2020
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Practice location Address checks out

570 Lexington Ave Fl 9
New York, NY 10022-6710
Phone: (164) 696-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12941328-1206 (UT)

Record details

NPI number1154944791
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 18, 2020
Last updated in NPPESMarch 23, 2023
Certification dateMarch 23, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Vitalcare Health Services Pc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations15 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Vitalcare Health Services PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 44 clinicians in the practice; 12 are shown here.

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