Active NPI
Zakiyyah Muhsin-Fall
- Psychiatric/Mental Health Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- SP029369
- Practice address
- 499 N 5TH St Ste a
Philadelphia, PA 19123-4005 - Phone
- (215) 451-7000
- NPI assigned
- Feb 26, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SPO21531 | PA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP029369 | PA | Primary |
Addresses
Primary practice location
499 N 5TH St Ste a
Philadelphia, PA 19123-4005
Mailing address
499 N 5TH St Ste a
Philadelphia, PA 19123-4005
Phone (215) 451-7000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
40 Huff Ave Ext
Greensburg, PA 15601-5484
Phone (724) 836-3960
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SPO21531 | PA | MD | Family Nurse Practitioner |
| SP029369 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meditelecare of Pennsylvania LLC | Multi-Specialty | Current | Accepting new patients |
| Forge Medical Group, LLC | Multi-Specialty | Current | Accepting new patients |
| Psychogeriatric Services LLC | Multi-Specialty | Current | Accepting new patients |
| Betteru Wellness and Psychiatric Services PLLC | Multi-Specialty | Current | Accepting new patients |
| Forge Medical Group, LLC | Multi-Specialty | Current | Accepting new patients |
Locations
12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873
10 Bank St
Ste 830
White Plains, NY 10606
Phone (888) 224-7312
595 Biglerville Rd
Gettysburg, PA 17325
Phone (717) 334-6249
40 Huff Avenue Ext
Greensburg, PA 15601
Phone (724) 836-3960
600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339
150 S Warner Rd
Ste 110
King of Prussia, PA 19406
150 S Warner Rd
King of Prussia, PA 19406
Phone (484) 401-7621
146 E King St
Lancaster, PA 17602
Phone (302) 990-2323
Organizations & group practices 7
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- King of Prussia, PA
- NPI 1447050117
Multi-Specialty
-
- Clinical Psychologist
- Harrisburg, PA
- NPI 1396351847
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738972800000",
"number": "1720612914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "499 N 5TH ST STE A",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191234005",
"telephone_number": "215-451-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "499 N 5TH ST STE A",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191234005",
"telephone_number": "215-451-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUHSIN-FALL",
"first_name": "ZAKIYYAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-26",
"last_updated": "2025-02-08",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SPO21531",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP029369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.