Individual provider Active NPI

Cynthia Marie Nieves, CRNP, FNP-BC

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1336960343
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP029855 Issued in PA
Practice address
216 W Somerset St
Philadelphia, PA 19133-3534
Phone
(855) 887-9229
NPI assigned
Oct 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 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 Practitioner 363LF0000X SP029855 PA Primary

Addresses

Primary practice location

216 W Somerset St
Philadelphia, PA 19133-3534

Mailing address

625 Boyer Rd
Cheltenham, PA 19012-1609
Phone (267) 269-6770

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
I20250728000649 PA Practitioner - Nurse Practitioner 4587171368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Temple University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Public Health Management CorporationGroup PAC ID 1850307406, 30 clinicians

Practice addresses (Care Compare)

216 W Somerset St
Philadelphia, PA 19133-3534
Phone (215) 763-8870

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP029855PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Management Corporation Current Accepting new patients
Public Health Management Corporation CurrentSince May 15, 2025 Accepting new patients
Public Health Mangement Corporation CurrentSince May 15, 2025 Accepting new patients
Public Health Mangement Corporation Past Accepting new patients

Locations

216 W Somerset St
Philadelphia, PA 19133
Phone (215) 763-8870

5675 N Front St
Philadelphia, PA 19120
Phone (215) 224-0440

1900 N 9th St
Ste 104
Philadelphia, PA 19122
Phone (215) 735-6690

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": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1336960343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 BOYER RD",
            "city": "CHELTENHAM",
            "state": "PA",
            "postal_code": "190121609",
            "telephone_number": "267-269-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W SOMERSET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191333534",
            "telephone_number": "855-887-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES",
        "first_name": "CYNTHIA",
        "middle_name": "MARIE",
        "credential": "CRNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP029855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.