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

Marisa Olsen

Individual provider Physician Assistant · NPI 1508413519

Marisa Olsen is a Physician Assistant in Dallas, Texas. Qualified in 2020, 6 years ago. Practices with Healthtexas Provider Network, a 2,539-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
6
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

4007 Worth St
Dallas, TX 75246-1608
Phone: (651) 323-4046
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1508413519
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 23, 2019
Last updated in NPPESOctober 25, 2022
Certification dateOctober 25, 2022
Mailing address3355 Blackburn St Apt 7201, Dallas, TX 75204-1572

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Healthtexas Provider Network — 2539 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Dallas