Individual provider Active NPI

Sara Oliverio, CRNP

  • Family Nurse Practitioner
  • Washington, PA
National Provider Identifier
1124570239
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP016712 Issued in PA
Practice address
125 N Franklin Dr
Suite 1
Washington, PA 15301-5892
Phone
(724) 225-6500
NPI assigned
Oct 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP016712 PA Primary

Addresses

Primary practice location

125 N Franklin Dr
Suite 1
Washington, PA 15301-5892

Mailing address

125 N Franklin Dr
Suite 1
Washington, PA 15301-5892
Phone (724) 225-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NC, OH, OR4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20181204003656 PA Practitioner - Nurse Practitioner 6305180142 Reassigns benefits to 3 organizations
I20221122002910 NC Practitioner - Nurse Practitioner 6305180142 Reassigns benefits to 1 organization
I20221219001933 OH Practitioner - Nurse Practitioner 6305180142 Reassigns benefits to 1 organization
I20240417001120 OR Practitioner - Nurse Practitioner 6305180142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boulder Care Provider Group PAGroup PAC ID 6901217447, 115 clinicians

Practice addresses (Care Compare)

106 Langtree Village Dr
Suite 301
Mooresville, NC 28117-7594
Phone (888) 288-4715

111 SW Naito Pkwy
Suite 200
Portland, OR 97204-3512
Phone (503) 563-7370

20046 Walker Rd
Suite 7
Shaker Heights, OH 44122-3645
Phone (503) 208-5061

6425 Living PL
Suite 200
Pittsburgh, PA 15206-5122
Phone (888) 288-4715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP016712PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Care Provider Group PA CurrentSince Nov 1, 2022 Accepting new patients
Washington Physician Services CurrentSince Nov 1, 2018 Accepting new patients

Locations

106 Langtree Village Dr
Ste 301
Mooresville, NC 28117
Phone (704) 457-1368

20046 Walker Rd
Ste 7
Shaker Heights, OH 44122
Phone (503) 208-5061

111 SW Naito Pkwy
Ste 200
Portland, OR 97204
Phone (503) 208-5061

6425 Living Pl
Ste 200
Pittsburgh, PA 15206
Phone (412) 450-6012

155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342

125 N Franklin Dr
Ste 1
Washington, PA 15301
Phone (724) 225-6500

190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1124570239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N FRANKLIN DR",
            "address_2": "SUITE 1",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153015892",
            "telephone_number": "724-225-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N FRANKLIN DR",
            "address_2": "SUITE 1",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153015892",
            "telephone_number": "724-225-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVERIO",
        "first_name": "SARA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.