MARILYN E OLSEN (PA) – Physician Assistant, NPI 1407856917

MARILYN E OLSEN (PA) is a healthcare provider. based in Middlebury, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 000797 (CT). The NPI Number for MARILYN E OLSEN (PA) is 1407856917

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
MARILYN E OLSEN (PA)
NPI
1407856917
Phone
(203) 758-1800
Address
850 STRAITS TPKE
Enumeration Date
26 July 2005
Last Update Date
4 October 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2037581800
Graduation Year
1998 (28 years ago)
PAC ID
8123161312
Group Practice PAC ID
4385634138
Professional Enrollment ID
I20100210000636
Address ID
CT067622843MI850XXTPKE300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,244 PHYSICIAN ASSISTANT in CT

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Provider Addresses for MARILYN E OLSEN (PA)

  • 850, Straits Turnpike, Oronoke, Middlebury, New Haven County, Connecticut, 06762, United States

    MIDDLEBURY, CT 067622843

    Phone: (203) 758-1800

    Fax: (203) 758-1804

    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)

CMS reports 8 Open Payments records for all available years, with a total value of $171.

Total Amount is formed as General ($171) + Research ($0) + Ownership ($0) = $171.

Last reported payment date: 2024-09-06 • Largest payer in this snapshot: Aurinia Pharma U.S., Inc. ($54).

Total Amount

$171

General + Research + Ownership

Payments

8

Total payment records

General Amount

$171

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

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: 2010-02-10

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
I20100210000636IPhysician AssistantCTTBD

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
90961Dialysis services, 2-3 physician visits per month (20 years or older)3123$0
99214Established patient office or other outpatient visit, 30-39 minutes2711$0
View full utilization report →

Insurance plans in this area (ZIP 06762)

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Provider's Procedures

MARILYN E OLSEN (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTCT90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older3526

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: 4385634138View full group profile
NameSpecialtyState
Nephrology, Internal MedicineCT
N E P H R O L O G YCT
Nephrology, Internal MedicineCT
Nephrology, Internal MedicineCT

Reviews

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Frequently asked questions

What number should I use to identify MARILYN E OLSEN (PA) for billing?
Administrative and clinical systems typically use NPI 1407856917 for MARILYN E OLSEN (PA).
Is MARILYN E OLSEN (PA)'s NPI status active today?
Active status means MARILYN E OLSEN (PA)'s NPI record is not deactivated in the public file.
What type of care does MARILYN E OLSEN (PA) provide?
MARILYN E OLSEN (PA)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to MARILYN E OLSEN (PA)?
MARILYN E OLSEN (PA) shows a connection to Middlebury, Connecticut in registry-derived data.
Who maintains MARILYN E OLSEN (PA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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