Active NPI
Omasilem Obiri, CRNP
- Family Nurse Practitioner
- Camp Hill, PA
National Provider Identifier
1194036053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP016941
- Practice address
- 3301 Trindle Rd
Camp Hill, PA 17011-4413 - Phone
- (717) 412-7859
- Fax
- (717) 965-3214
- NPI assigned
- Jun 25, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN613239 | PA | |
| Family Nurse Practitioner | 363LF0000X | SP016941 | PA | Primary |
Addresses
Primary practice location
3301 Trindle Rd
Camp Hill, PA 17011-4413
Mailing address
680 Blair Mill Rd
Horsham, PA 19044-2223
Other practice location 1
680 Blair Mill Rd
Horsham, PA 19044-2223
Phone (267) 261-4413
Other names 1
- Omasilem Elekwa
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251210002917 | PA | Order and Referring Only - Nurse Practitioner | 1052688306 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN613239 | PA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639612800000",
"number": "1194036053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 BLAIR MILL RD",
"city": "HORSHAM",
"state": "PA",
"postal_code": "190442223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 TRINDLE RD",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170114413",
"telephone_number": "717-412-7859",
"fax_number": "717-965-3214"
}
],
"practiceLocations": [
{
"address_1": "680 Blair Mill Rd",
"address_purpose": "LOCATION",
"city": "Horsham",
"state": "PA",
"postal_code": "190442223",
"country_code": "US",
"telephone_number": "267-261-4413",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OBIRI",
"first_name": "OMASILEM",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-25",
"last_updated": "2021-12-16",
"certification_date": "2021-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN613239",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP016941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "OMASILEM",
"last_name": "ELEKWA",
"credential": "CRNP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Camp Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.