Individual provider Active NPI

Bobbie Jo Oshall, CRNP

  • Nurse Practitioner
  • State College, PA
National Provider Identifier
1659676955
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP010976 Issued in PA
Practice address
1951 Pine Hall Rd
State College, PA 16801-5106
Phone
(570) 271-6784
Fax
(570) 271-5268
NPI assigned
Jan 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP010976 PA
Nurse Practitioner 363L00000X SP010976 PA Primary

Addresses

Primary practice location

1951 Pine Hall Rd
State College, PA 16801-5106

Mailing address

350 Roseland Rd
Coalport, PA 16627-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address boshall259385@direct.geisinger.edu Direct

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
I20110418000470 PA Practitioner - Nurse Practitioner 9032393962 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clearfield-Jefferson Primary Care Associates PCGroup PAC ID 6002064433, 73 clinicians

Practice addresses (Care Compare)

33 Beaver Dr
Suite 1
Du Bois, PA 15801-2434
Phone (814) 503-8070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP010976PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tyrone Hospital CurrentSince Sep 17, 2018 Accepting new patients
Clearfield-Jefferson Primary Care Associates PC CurrentSince Nov 1, 2022 Accepting new patients
Pcma Palliative Division LLC CurrentSince Aug 1, 2021 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Cardiac Daignostic Inc. Past Accepting new patients
Pinecroft Medical Center Past Accepting new patients
Hospice Preferred Choice, Inc. Past Accepting new patients
Hospice Preferred Choice, Inc. Past Accepting new patients

Locations

417 Sabbath Rest Rd
Ste 3
Altoona, PA 16601
Phone (814) 940-8195

33 Beaver Dr
Ste 1
Dubois, PA 15801
Phone (570) 561-2990

33 Beaver Dr
Dubois, PA 15801
Phone (717) 315-2890

503 Railroad Ave
Patton, PA 16668
Phone (814) 674-2218

2000 Cliffmine Rd
Ste 500
Pittsburgh, PA 15275
Phone (724) 766-0025

187 Hospital Dr
Tyrone, PA 16686
Phone (814) 342-2333

Organizations & group practices 8

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": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1659676955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 ROSELAND RD",
            "city": "COALPORT",
            "state": "PA",
            "postal_code": "166278000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 PINE HALL RD",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168015106",
            "telephone_number": "570-271-6784",
            "fax_number": "570-271-5268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSHALL",
        "first_name": "BOBBIE",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-18",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP010976",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP010976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "boshall259385@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1951 Pine Hall Rd",
            "city": "State College",
            "state": "PA",
            "country_code": "US",
            "postal_code": "168015106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.