LARISSA MICHELE OLSON (PA) – Physician Assistant, NPI 1558839043

LARISSA MICHELE OLSON (PA) is a healthcare provider. based in Belfast, Maine. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA2421 (ME). The NPI Number for LARISSA MICHELE OLSON (PA) is 1558839043

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
LARISSA MICHELE OLSON (PA)
NPI
1558839043
Phone
(585) 943-2282
Address
118 Northport Ave
Enumeration Date
2 November 2018
Last Update Date
18 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2073691000
Graduation Year
2018 (8 years ago)
PAC ID
6103159967
Group Practice PAC ID
3870583511
Professional Enrollment ID
I20231030001544
Address ID
ME042762104RU420XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:7State licenses:4Digital endpointsOther names

1,167 PHYSICIAN ASSISTANT in ME

Provider Addresses for LARISSA MICHELE OLSON (PA)

  • 118 Northport Ave

    Belfast, ME 049156072

    Phone: (585) 943-2282

    Type: Location

  • 16 Hospital Rd

    Plymouth, NH 032641199

    Phone: (603) 536-1120

    Type: Location

  • Unity Hospital, 1555, Long Pond Road, Greece, Monroe, New York, 14626, United States

    ROCHESTER, NY 146264122

    Phone: (585) 723-7870

    Fax: (585) 723-7871

    Type: Mailing

  • 115 PORTER DR

    MIDDLEBURY, VT 057538629

    Phone: (802) 388-8842

    Type: Location

  • 420 FRANKLIN ST

    RUMFORD, ME 042762104

    Phone:

    Type: Mailing

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: 2023-10-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20190610002506IPhysician AssistantNYTBD
I20200826000396IPhysician AssistantVTTBD
I20230217000989IPhysician AssistantNHTBD
I20231030001544IPhysician AssistantMETBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes9189$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3030$0
View full utilization report →

Insurance plans in this area (ZIP 04915)

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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: 3870583511View full group profile
NameSpecialtyState
Endocrinology, Internal MedicineME
Cardiovascular Disease (Cardiology)NH
General SurgeryMA
Hospitalist, Internal MedicineOR
Nurse PractitionerME
Hospitalist, Internal MedicineME
Medical OncologyCA
Physician AssistantME
Cardiovascular Disease (Cardiology)ME
Nurse PractitionerME

Reviews

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Frequently asked questions

What is the 10-digit NPI for LARISSA MICHELE OLSON (PA)?
LARISSA MICHELE OLSON (PA) — NPI 1558839043 — is the standard way to identify this listing.
Is LARISSA MICHELE OLSON (PA) still practicing?
LARISSA MICHELE OLSON (PA) is currently listed as active in the public NPI registry.
What is LARISSA MICHELE OLSON (PA) best known for clinically?
Directory data describes LARISSA MICHELE OLSON (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does LARISSA MICHELE OLSON (PA) serve?
LARISSA MICHELE OLSON (PA)'s listing highlights Belfast, Maine; more addresses can appear in NPPES.
Why does LARISSA MICHELE OLSON (PA) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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