Isabella Maria Oldenburg, PA
Physician Assistant in Providence, RI. Individual provider (NPI-1).
NPI number1154882835
StatusActive
Last updated in NPPESOct 15, 2025
Details
- NPI
- 1154882835
- Entity type
- Individual (NPI-1)
- Name
- Isabella Maria Oldenburg
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2019
- Certification date
- Oct 15, 2025
- Last updated
- Oct 15, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA01442 | RI | Yes |
Practice location
44 W River StProvidence, RI 02904-2609
Phone 401-274-4800
Mailing address
Po Box 202230Dallas, TX 75320-2230
Phone 401-274-4800 · Fax 401-454-0410
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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