Individual provider Active NPI

Ebunoluwa Adewumi Osara

  • Family Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1528740693
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
211713 Issued in AK
Practice address
1577 C St Ste 104
Anchorage, AK 99501-5127
Phone
(907) 222-2448
NPI assigned
Aug 7, 2023
Last updated
Nov 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 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 211713 AK Primary

Addresses

Primary practice location

1577 C St Ste 104
Anchorage, AK 99501-5127

Mailing address

1569 Bragaw St Ste 102
Anchorage, AK 99508-3102
Phone (907) 302-3006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20231010001143 AK Practitioner - Nurse Practitioner 7416302500 Reassigns benefits to 1 organization
Practice locations: Anchorage, AK

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
70.59 of 100Reported as group
Quality
83.37
Promoting interoperability
100
Improvement activities
40
Cost
16.65

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anchorage Neurosurgical Associates Inc CurrentSince Jan 21, 2024 Accepting new patients
Synergy Health and Wellness LLC CurrentSince Aug 27, 2023 Accepting new patients

Locations

3831 Piper St
Ste S450
Anchorage, AK 99508
Phone (907) 258-6999

750 W Dimond Blvd
Ste 103
Anchorage, AK 99515
Phone (813) 690-5092

Organizations & group practices 2

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": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1528740693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 BRAGAW ST STE 102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083102",
            "telephone_number": "907-302-3006",
            "fax_number": "800-603-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 C ST STE 104",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995015127",
            "telephone_number": "907-222-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSARA",
        "first_name": "EBUNOLUWA",
        "middle_name": "ADEWUMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "211713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.