MRS. OLIVIA JEAN WALL PETRIE (PA-C) – Physician Assistant, NPI 1124416334
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
551 PHYSICIAN ASSISTANT in AK
Provider Addresses for MRS. OLIVIA JEAN WALL PETRIE (PA-C)
PO BOX 1130
GIRDWOOD, AK 995871130
Phone: (907) 783-1355
Fax: (907) 783-1357
Type: Mailing
114 HERB DIDRICKSON ST
SITKA, AK 998357487
Phone: (907) 350-2427
Type: Mailing
209 MOLLER AVE
SITKA, AK 998357142
Phone: (907) 747-1722
Type: Location
3380 C ST
SUITE 100
ANCHORAGE, AK 995033949
Phone: (907) 277-1440
Type: Mailing
301 KENAI STREET
WHITTIER, AK 99693
Phone: (907) 472-2303
Type: Location
1130 LINDBLAD AVE
GIRDWOOD, AK 99587
Phone: (907) 783-1355
Fax: (907) 783-1357
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $142.
Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.
Last reported payment date: 2024-09-06 • Largest payer in this snapshot: Genentech USA, Inc. ($142).
Total Amount
$142
General + Research + Ownership
Payments
2
Total payment records
General Amount
$142
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Genentech USA, Inc. | $142 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-05-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150321000002 | I | Physician Assistant | AK | TBD |
| I20180511001458 | I | Physician Assistant | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 139 | 123 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 77 | 71 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 99587)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | AK | |
| Clinical Social Worker | CA | |
| Nurse Practitioner | AK | |
| - | AK | |
| Physician Assistant | AK | |
| Nurse Practitioner | AK | |
| Family Practice | AK |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.