Individual provider Active NPI

Mary Agnes Ostick, CRNP

  • Family Nurse Practitioner
  • Villanova, PA
National Provider Identifier
1700829314
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
363LF0000X Issued in PA
Practice address
800 Lancaster Ave
Villavnoa University
Villanova, PA 19085-1603
Phone
(610) 519-4070
Fax
(610) 519-4047
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 363LF0000X PA Primary

Addresses

Primary practice location

800 Lancaster Ave
Villavnoa University
Villanova, PA 19085-1603

Mailing address

412 Cherry LN
Havertown, PA 19083-1619
Phone (610) 446-4736

Other identifiers 1

IdentifierTypeStateIssuer
36OtherPANURSE PRACTITIONER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
363LF0000XPAMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1700829314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 CHERRY LN",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190831619",
            "telephone_number": "610-446-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 LANCASTER AVE",
            "address_2": "VILLAVNOA UNIVERSITY",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851603",
            "telephone_number": "610-519-4070",
            "fax_number": "610-519-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTICK",
        "first_name": "MARY AGNES",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "363LF0000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "36",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Villanova, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.