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

Olivia Kieffer, PA-C

Individual provider Medical Physician Assistant · NPI 1134901671

Olivia Kieffer, PA-C is a Physician Assistant in Mesa, Arizona. Graduated from Lincoln Memorial University Medical Department in 2023, 3 years ago. Practices with Summit Medical Group Arizona LLC, a 153-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Washington.

Years since qualifying
3
Trained at
Lincoln Memorial University Medical Department
Licensed in
AZ, WA
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6828 E Brown Rd Ste 102
Mesa, AZ 85207-3761
Phone: (602) 755-0800
Fax: (602) 560-2721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 10570 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence PA.PA.61484555 (WA)

Record details

NPI number1134901671
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 18, 2023
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2023 (3 years in practice)
Group practice Summit Medical Group Arizona Llc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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