Individual provider Active NPI

Feyisayo Olufunke Oyewole, FNP-BC FNP-C

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1285492017
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP029409 Issued in PA
Practice address
2501 W Lehigh Ave
Philadelphia, PA 19132-3207
Phone
(215) 227-0300
Fax
(215) 227-0302
NPI assigned
Mar 7, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X SP029409 PA Primary

Addresses

Primary practice location

2501 W Lehigh Ave
Philadelphia, PA 19132-3207

Mailing address

2501 W Lehigh Ave
Philadelphia, PA 19132-3207
Phone (215) 227-0300

Other names 1

  • Mrs. Feyisayo Olufunke Oyewole Other name

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
I20240917000189 PA Practitioner - Nurse Practitioner 9638610728 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berks Counseling Center IncGroup PAC ID 7810894631, 16 clinicians

Practice addresses (Care Compare)

645 Penn St
FL 2
Reading, PA 19601-3543
Phone (610) 373-4281

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Berks Counseling Center, Inc. CurrentSince Aug 29, 2024 Accepting new patients
Signify Health Medical Associates, PLLC Single Specialty CurrentSince Feb 1, 2025 Accepting new patients
Berks Counseling Center, Inc. Single Specialty CurrentSince Aug 29, 2024 Accepting new patients

Locations

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

645 Penn St
Fl 2
Reading, PA 19601
Phone 6103734281 ext. 247

645 Penn St
Reading, PA 19601
Phone (610) 207-5524

645 Penn St
Fl 4
Reading, PA 19601
Phone (484) 755-5736

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: feyisayo.oyewole.p1@direct.berkscc.nextgenshare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1285492017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W LEHIGH AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191323207",
            "telephone_number": "215-227-0300",
            "fax_number": "215-227-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W LEHIGH AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191323207",
            "telephone_number": "215-227-0300",
            "fax_number": "215-227-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYEWOLE",
        "first_name": "FEYISAYO",
        "middle_name": "OLUFUNKE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP029409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FEYISAYO",
            "last_name": "OYEWOLE",
            "middle_name": "OLUFUNKE",
            "prefix": "MRS.",
            "credential": "ADESONA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.