Individual provider Active NPI

Tristan M Ortiz, CRNP

  • Family Nurse Practitioner
  • Phila, PA
National Provider Identifier
1265893747
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP016023 Issued in PA
Practice address
650 Edison Ave
Phila, PA 19116-1237
Phone
(215) 673-5700
NPI assigned
Mar 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP016023 PA Primary
Family Nurse Practitioner 363LF0000X 118967 WV

Addresses

Primary practice location

650 Edison Ave
Phila, PA 19116-1237

Mailing address

101 E State St
Kennett Square, PA 19348-3109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160419002822 PA Practitioner - Nurse Practitioner 3971801218 Reassigns benefits to 3 organizations
I20241111003020 WV Practitioner - Nurse Practitioner 3971801218 Reassigns benefits to 1 organization

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
Curana Health of Pennsylvania PCGroup PAC ID 6507246345, 98 clinicians
CH Specialty Services PA PCGroup PAC ID 2567827157, 75 clinicians

Practice addresses (Care Compare)

1 Penn Blvd
Philadelphia, PA 19144-1476
Phone (337) 991-9276

600 E Cathedral Rd
Philadelphia, PA 19128-1933
Phone (337) 991-9276

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP016023PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of West Virginia LLC Family CurrentSince Sep 7, 2024 Accepting new patients
Curana Health of Pennsylvania PC CurrentSince Jul 5, 2023 Accepting new patients
Alignmed Partners, PC CurrentSince Jan 1, 2018 Accepting new patients

Locations

5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330

526 N Saint Cloud St
#1601
Allentown, PA 18104

526 N Saint Cloud St
Ste 1601
Allentown, PA 18104
Phone (267) 308-4902

549 Baltimore Pike
Glen Mills, PA 19342
Phone (610) 358-6005

101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436

1718 Spring Creek Rd
Macungie, PA 18062
Phone (610) 366-0500

1194 Naamans Creek Rd
Marcus Hook, PA 19060
Phone (610) 358-6005

7 E Locust St
Oxford, PA 19363
Phone (610) 998-2400

1 Penn Blvd
Philadelphia, PA 19144
Phone (215) 951-8060

650 Edison Ave
Philadelphia, PA 19116
Phone (215) 673-5700

5501 Perkiomen Ave
Reading, PA 19606
Phone (610) 779-0600

800 W Miner St
West Chester, PA 19382
Phone (484) 920-6200

126 E Burke St
Martinsburg, WV 25401
Phone (240) 761-8720

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1457654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1265893747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 EDISON AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191161237",
            "telephone_number": "215-673-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "TRISTAN",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-11",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016023",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "118967",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

Verify at the official NPI Registry.