Individual provider Active NPI

Widia Owens, CRNP, FNP-C

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1205726916
Registry record updated Jul 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP032417 Issued in PA
Practice address
2 Franklin Town Blvd
Philadelphia, PA 19103-1238
Phone
(215) 563-1800
NPI assigned
Jul 4, 2025
Last updated
Jul 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2025

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 SP032417 PA Primary

Addresses

Primary practice location

2 Franklin Town Blvd
Philadelphia, PA 19103-1238

Mailing address

7900 Old York Rd Apt 708a
Elkins Park, PA 19027-2328
Phone (267) 254-4476

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250805004327 PA Practitioner - Nurse Practitioner 4385152735 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitality NP Group LLCGroup PAC ID 1052747128, 12 clinicians

Practice addresses (Care Compare)

45 Loggers Mill Rd
Horsham, PA 19044-1924
Phone (484) 433-9084

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality NP Group LLC CurrentSince Jul 1, 2025 Accepting new patients
Provider Partners Care Management LP CurrentSince Jul 1, 2025 Accepting new patients
Vitality NP Group Past Accepting new patients

Locations

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (317) 701-2379

685 River Ave
Unit 3
Lakewood, NJ 08701
Phone (732) 987-3855

6212 Walnut St
Philadelphia, PA 19139
Phone (215) 476-6264

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": "1751587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751587200000",
    "number": "1205726916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 OLD YORK RD APT 708A",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272328",
            "telephone_number": "267-254-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 FRANKLIN TOWN BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031238",
            "telephone_number": "215-563-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "WIDIA",
        "credential": "CRNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-04",
        "last_updated": "2025-07-04",
        "certification_date": "2025-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP032417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.