Individual provider Active NPI

Agnieszka Osak, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1174206825
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
508016 Issued in OH
Practice address
130 Wellington PL
Cincinnati, OH 45219-1710
Phone
(513) 357-4602
NPI assigned
Aug 9, 2023
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 508016 OH Primary

Addresses

Primary practice location

130 Wellington PL
Cincinnati, OH 45219-1710

Mailing address

130 Wellington PL
Cincinnati, OH 45219-1710
Phone (513) 357-4602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231221000319 OH Practitioner - Nurse Practitioner 5395195093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2347 Vine St
FL 2
Cincinnati, OH 45219-1745
Phone (513) 357-4602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
508016OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Resource Center of Cincinnati, Inc. CurrentSince Nov 20, 2023 Accepting new patients
Health Resource Center of Cincinnati, Inc. CurrentSince Nov 20, 2023 Accepting new patients
Ikron Corporation CurrentSince Nov 20, 2023 Accepting new patients

Locations

2347 Vine St
Cincinnati, OH 45219
Phone (513) 357-4602

2347 Vine St
Fl 2
Cincinnati, OH 45219
Phone (513) 357-4602

2347 Vine St
Fl Second
Cincinnati, OH 45219
Phone (513) 357-4602

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1174206825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 WELLINGTON PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452191710",
            "telephone_number": "513-357-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WELLINGTON PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452191710",
            "telephone_number": "513-357-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSAK",
        "first_name": "AGNIESZKA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "508016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.