Active NPI
Tristan M Ortiz, CRNP
- Family Nurse Practitioner
- Phila, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP016023
- 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
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 |
|---|---|---|---|---|
| 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, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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)
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
| License | State | Type | Specialty |
|---|---|---|---|
| SP016023 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curana Health of West Virginia LLC | Family | Current | Accepting new patients |
| Curana Health of Pennsylvania PC | Current | Accepting new patients | |
| Alignmed Partners, PC | Current | 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
- 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.
-
- Internal Medicine Physician
- Allentown, PA
- NPI 1679205876
-
- Internal Medicine Physician
- Allentown, PA
- NPI 1295438547
-
dba GPS Physician Group PC
- Geriatric Medicine (Internal Medicine) Physician
- Gardendale, AL
- NPI 1881109452
PA
-
- Family Nurse Practitioner
- Martinsburg, WV
- NPI 1427437821
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.