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

Olivia Southard Mayfield, AGPCNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1063125672

Olivia Southard Mayfield, AGPCNP-BC is a Nurse Practitioner in Meridian, Idaho. Qualified in 2022, 4 years ago. Practices with Direct Orthopedic Care LLC, a 31-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
4
Licensed in
ID
In the registry since
2022

Practice location Address checks out

3015 E Magic View Dr Ste 130
Meridian, ID 83642-3750
Phone: (208) 482-5567
Fax: (208) 482-5515
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7979 W Rifleman St, Boise, ID 83704-9066 — (208) 482-5530
  • 4842 N Cortona Way, Meridian, ID 83646-3171 — (208) 579-2024

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 74554 (ID)

Record details

NPI number1063125672
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorNo
NPI enumeratedDecember 28, 2022
Last updated in NPPESDecember 28, 2022
Certification dateDecember 28, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Direct Orthopedic Care Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Meridian