Individual provider Active NPI

Ryan Ochalek

  • Family Nurse Practitioner
  • Titusville, PA
National Provider Identifier
1760997456
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP018197 Issued in PA
Practice address
120 S Martin St
Titusville, PA 16354-1850
Phone
(814) 827-8400
Fax
(814) 827-8405
NPI assigned
Dec 5, 2017
Last updated
Oct 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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 SP018197 PA Primary

Addresses

Primary practice location

120 S Martin St
Titusville, PA 16354-1850

Mailing address

100 Shenango Ave
Sharon, PA 16146-1503
Phone (814) 827-8400

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
I20180130001842 PA Practitioner - Nurse Practitioner 6204196819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

316 Allegheny Blvd
Suite B
Franklin, PA 16323-6208
Phone (814) 432-7200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP018197PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Network CurrentSince Jan 8, 2018 Accepting new patients
Primary Health Network CurrentSince Jan 8, 2018 Accepting new patients
Primary Health Network Past Accepting new patients

Locations

30 Pinnacle Dr
Clarion, PA 16214
Phone (814) 223-9900

650 East Ave
Erie, PA 16503
Phone (814) 455-5505

2000 Green St
Farrell, PA 16121
Phone (724) 342-6600

529 Lloyd Ave
Latrobe, PA 15650
Phone 7247048886406

737 Greenville Rd
Mercer, PA 16137
Phone (724) 662-1414

811 Grandview Rd
Ste 100
Oil City, PA 16301
Phone (814) 670-7950

100 Shenango Ave
Sharon, PA 16146
Phone (724) 704-8886

63 Pitt St
Sharon, PA 16146
Phone (724) 342-6604

120 S Martin St
Titusville, PA 16354
Phone (814) 827-2938

401 W Spring St
Titusville, PA 16354
Phone (814) 827-5719

Interoperability endpoints

  • Direct secure messaging: ryanochalek@primaryhn.medalliesdirect.net

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": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1760997456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SHENANGO AVE",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161461503",
            "telephone_number": "814-827-8400",
            "fax_number": "814-827-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S MARTIN ST",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163541850",
            "telephone_number": "814-827-8400",
            "fax_number": "814-827-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCHALEK",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-05",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP018197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, PA

Sources for this page

Verify at the official NPI Registry.