Look up the most recent NPI and PECOS records

Olivia Josephine Vahlsing

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

2901 W Kk River Pkwy Ste 315, Milwaukee, WI 53215-3660

PECOS Enrollment

This provider is enrolled in PECOS as OLIVIA VAHLSING.

Based on the most recent information from CMS, provider Olivia Josephine Vahlsing is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:26 AM.

Profile Details

Provider ID
1184292633
Provider Type
Individual
Full Name
Vahlsing, Olivia Josephine
Gender
Female

Sole Proprietor
Yes
Enumeration Date
6/11/2021
Last Updated
11/12/2025

Contact Information

Practice Location

2901 W Kk River Pkwy Ste 315, Milwaukee, WI 53215-3660

(414) 649-3370

Unlisted Fax

Mailing Location

PO Box 735044, Chicago, IL 60673-5044

(800) 326-2250

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License OA005673 Pennsylvania
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 8398 Wisconsin
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License MA062569 Pennsylvania

Provider Identifiers

ID	Description	Issuer
ID 100378965	Description Medicaid	Issuer Unlisted Wisconsin

Olivia Josephine Vahlsing

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Keepers, Jacob Finer

Irby, Shemeka

Schrik, Sarah Catherine

Bronek, Luann J

Mccandless, Cassidy Sarah

Zimmet, Kristin L.

Mcwherter, Mattison Marie

Anderson, Garrett B

Donovan, Sarah Katherine

Giovetti, Lynn