ISABELLA MARIA OLDENBURG (PA) – Physician Assistant, NPI 1154882835

ISABELLA MARIA OLDENBURG (PA) is a healthcare provider. based in Berkeley, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA01442 (RI). The NPI Number for ISABELLA MARIA OLDENBURG (PA) is 1154882835

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
ISABELLA MARIA OLDENBURG (PA)
NPI
1154882835
Phone
(708) 710-6342
Address
1100 THE ALAMEDA
Enumeration Date
26 March 2019
Last Update Date
15 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4012744800
Graduation Year
2019 (7 years ago)
PAC ID
1456681964
Group Practice PAC ID
3678762804
Professional Enrollment ID
I20221012001512
Address ID
RI029042609PR44XXXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Digital endpointsOther names

10,564 PHYSICIAN ASSISTANT in CA

Loading map...

Provider Addresses for ISABELLA MARIA OLDENBURG (PA)

  • Berkeley, Alameda County, California, United States

    BERKELEY, CA 947072502

    Phone: (708) 710-6342

    Type: Mailing

  • 44 W RIVER ST

    PROVIDENCE, RI 029042609

    Phone: (401) 274-4800

    Type: Mailing

  • PO BOX 202230

    DALLAS, TX 753202230

    Phone: (401) 274-4800

    Fax: (401) 454-0410

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $41.

Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Madrigal Pharmaceuticals ($41).

Total Amount

$41

General + Research + Ownership

Payments

1

Total payment records

General Amount

$41

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Madrigal Pharmaceuticals$41
View all Open Payments →|Open Payments Risk Radar →

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: 2022-10-12

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
I20221012001512IPhysician AssistantRITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes11089$0
99204New patient office or other outpatient visit, 45-59 minutes9292$0
99203New patient office or other outpatient visit, 30-44 minutes2222$0
99213Established patient office or other outpatient visit, 20-29 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 94707)

Loading plans...

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: 3678762804View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineRI
G A S T R O E N T E R O L O G YRI
Nurse PractitionerRI
G A S T R O E N T E R O L O G YRI
Certified Registered Nurse Anesthetist (Crna)RI
Certified Registered Nurse Anesthetist (Crna)RI
Certified Registered Nurse Anesthetist (Crna)RI
Physician AssistantRI
Nurse PractitionerTX
G A S T R O E N T E R O L O G YNH

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.

Frequently asked questions

What is the registry number for ISABELLA MARIA OLDENBURG (PA)?
The registry entry for ISABELLA MARIA OLDENBURG (PA) shows NPI 1154882835.
Is ISABELLA MARIA OLDENBURG (PA)'s NPI status active today?
Active status means ISABELLA MARIA OLDENBURG (PA)'s NPI record is not deactivated in the public file.
How should patients interpret ISABELLA MARIA OLDENBURG (PA)'s specialty?
The extract shows Physician Assistant for ISABELLA MARIA OLDENBURG (PA). Clinical services aligned with this taxonomy classification.
Is ISABELLA MARIA OLDENBURG (PA) tied to Berkeley, California?
If you are local to Berkeley, California, ISABELLA MARIA OLDENBURG (PA) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

Similar Providers

Mad Seoul, 1801, Shattuck Avenue, Gourmet Ghetto, Berkeley, Alameda County, California, 94709, United States
NPI: 1194703652

HEIDI HEAL (PA-C)

Physician Assistant
370 N. WIGET LANE
NPI: 1912967498

SABRA DALY (PA)

Physician Assistant
Challenge Butter, 11875, Dublin Boulevard, Dublin, Alameda County, California, United States
NPI: 1043271448

PAULA LASKY PRICE (PA)

Physician Assistant
Challenge Butter, 11875, Dublin Boulevard, Dublin, Alameda County, California, United States
NPI: 1881655074

MS. CECILIA E. BROWN

Physician Assistant
38883 CA HWY 299
NPI: 1073533600

TERRI D PAGANO (P.A.)

Physician Assistant
2510, Webster Street, Elmwood, Berkeley, Alameda County, California, 94705, United States
NPI: 1336158328

MS. DEANNA L LEWIS (PAC)

Physician Assistant
3916, State Street, Santa Barbara, Santa Barbara County, California, 93105, United States
NPI: 1750393609

DEBRA SUE GOETTSCH (P.A.-C)

Physician Assistant
1801 SHATTUCK AVE STE A
NPI: 1841202165