Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clinton Olsen, PA

Individual provider Physician Assistant · NPI 1164446027

Clinton Olsen, PA is a Physician Assistant in Rochester, New York. Qualified in 2005, 21 years ago. Practices with University of Rochester, a 962-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
21
Licensed in
NY
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

601 Elmwood Ave
Rochester, NY 14642-3035
Phone: (585) 273-4058
Fax: (585) 473-3516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 011208 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 11208 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 011208 (NY)

Record details

NPI number1164446027
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESAugust 24, 2025
Certification dateAugust 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice University Of Rochester — 962 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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