OLIVIA NASSOIY – Certified Registered Nurse Anesthetist, NPI 1114523305

OLIVIA NASSOIY is a healthcare provider. based in Santa monica, California. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 95001451 (CA). The NPI Number for OLIVIA NASSOIY is 1114523305

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
OLIVIA NASSOIY
NPI
1114523305
Phone
(847) 912-2664
Address
1717 ROBSON AVE
Enumeration Date
11 December 2020
Last Update Date
11 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9103437044
Graduation Year
2020 (6 years ago)
PAC ID
6204203458
Group Practice PAC ID
7113330168
Professional Enrollment ID
I20221101002728
Address ID
NC284017407WI2131XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,456 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CA

Provider Addresses for OLIVIA NASSOIY

  • 1717 ROBSON AVE

    SANTA MONICA, CA 904055917

    Phone: (847) 912-2664

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-11-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221101002728ICertified Registered Nurse Anesthetist (Crna)NCTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2828$0
View full utilization report →

Insurance plans in this area (ZIP 90405)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113330168View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)SC
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)NC
Internal MedicineNC
Certified Registered Nurse Anesthetist (Crna)FL
Cardiovascular Disease (Cardiology)NC
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)NC

Reviews

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Frequently asked questions

How do payers reference OLIVIA NASSOIY?
For OLIVIA NASSOIY, use NPI 1114523305 as the unique 10-digit identifier.
Is there an active status for OLIVIA NASSOIY?
For scheduling context, OLIVIA NASSOIY is shown as active in the registry.
How would a patient describe OLIVIA NASSOIY's focus?
For OLIVIA NASSOIY, the primary taxonomy reads as Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What locale is associated with OLIVIA NASSOIY?
Directory geography for OLIVIA NASSOIY centers on Santa Monica, California.
When was this NPI issued?
Enumeration for OLIVIA NASSOIY is noted as December 11, 2020 where the registry provides it.

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