Individual provider Active NPI

Olga P Dyachkina, CRNP

  • Primary Care Nurse Practitioner
  • Erie, PA
National Provider Identifier
1659135473
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
SP029274 Issued in PA
Practice address
2928 Peach St
Erie, PA 16508-1843
Phone
(814) 453-6229
Fax
(814) 456-3731
NPI assigned
Feb 12, 2024
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X SP029274 PA Primary

Addresses

Primary practice location

2928 Peach St
Erie, PA 16508-1843

Mailing address

2928 Peach St
Erie, PA 16508-1843
Phone (814) 453-6229

Other practice location 1

2021 E 20th St
Erie, PA 16510-1147
Phone (814) 453-6229

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
I20240509002643 PA Practitioner - Nurse Practitioner 2961843891 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
CH Specialty Services PA PCGroup PAC ID 2567827157, 75 clinicians
Curana Health of Pennsylvania PCGroup PAC ID 6507246345, 98 clinicians

Practice addresses (Care Compare)

526 N Saint Cloud St
Suite 1601
Allentown, PA 18104-5041
Phone (337) 991-9276

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services PA PC CurrentSince Jun 17, 2025 Accepting new patients
Multi-Cultural Health Evaluation Delivery Systems Inc CurrentSince Apr 1, 2024 Accepting new patients
Curana Health of Pennsylvania PC CurrentSince Jun 17, 2025 Accepting new patients

Locations

526 N Saint Cloud St
Ste 1601
Allentown, PA 18104
Phone (267) 308-4902

526 N Saint Cloud St
#1601
Allentown, PA 18104

2021 E 20th St
Erie, PA 16510
Phone (814) 453-6229

2928 Peach St
Erie, PA 16508
Phone (814) 452-6229

7 E Locust St
Oxford, PA 19363
Phone (610) 998-2400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, 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": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1659135473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2928 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165081843",
            "telephone_number": "814-453-6229",
            "fax_number": "814-456-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165081843",
            "telephone_number": "814-453-6229",
            "fax_number": "814-456-3731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 E 20th St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165101147",
            "country_code": "US",
            "telephone_number": "814-453-6229",
            "fax_number": "814-456-3731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYACHKINA",
        "first_name": "OLGA",
        "middle_name": "P",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP029274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.