Individual provider Active NPI

Sara Louise Olkowski, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1558128041
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP026968 Issued in PA
Practice address
6129 Palmetto St
Philadelphia, PA 19111-5729
Phone
(215) 722-8555
NPI assigned
Mar 1, 2024
Last updated
Mar 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X SP026968 PA Primary

Addresses

Primary practice location

6129 Palmetto St
Philadelphia, PA 19111-5729

Mailing address

2867 Nautilus Rd
Philadelphia, PA 19154-1607
Phone (814) 932-5623

Other practice location 1

1930 S Broad St
Philadelphia, PA 19145-2328
Phone (215) 709-4000

Other names 1

  • Sara Louise Stotsky Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP026968PAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hammad Raza PC CurrentSince Mar 1, 2024 Accepting new patients

Locations

1930 S Broad St
Philadelphia, PA 19145
Phone (215) 339-4563

6129 Palmetto St
Philadelphia, PA 19111
Phone (215) 722-8555

Organizations & group practices 1

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": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1558128041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2867 NAUTILUS RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191541607",
            "telephone_number": "814-932-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6129 PALMETTO ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191115729",
            "telephone_number": "215-722-8555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1930 S Broad St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191452328",
            "country_code": "US",
            "telephone_number": "215-709-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLKOWSKI",
        "first_name": "SARA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP026968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "STOTSKY",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.