OLIVIA SOUTHARD MAYFIELD (AGPCNP-BC) – Gerontology Nurse Practitioner, NPI 1063125672
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,798 NURSE PRACTITIONER in ID
Provider Addresses for OLIVIA SOUTHARD MAYFIELD (AGPCNP-BC)
4842 N Cortona Way
Meridian, ID 836463171
Phone: (208) 579-2024
Type: Location
7979 W Rifleman St
Boise, ID 837049066
Phone: (208) 482-5530
Type: Location
3843 W RIVA CAPRI ST
MERIDIAN, ID 836466739
Phone: (520) 488-8568
Type: Mailing
3015 E MAGIC VIEW DR STE 130
MERIDIAN, ID 836423750
Phone: (208) 482-5567
Fax: (208) 482-5515
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 $41.
Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.
Last reported payment date: 2024-03-21 • Largest payer in this snapshot: Bioventus LLC ($22).
Total Amount
$41
General + Research + Ownership
Payments
2
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
2024-03-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bioventus LLC | $22 |
| HydroCision, Inc. | $19 |
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: 2023-02-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230222001887 | I | Nurse Practitioner | ID | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 147 | 19 | $0 |
| 73562 | X-ray of knee, 3 views | 46 | 20 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 46 | 46 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 24 | 21 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 22 | 11 | $0 |
Insurance plans in this area (ZIP 83646)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| - | AZ | |
| Sports Medicine | ID | |
| Physician Assistant | ID | |
| Physician Assistant | CO | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| Sports Medicine | UT |
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.