Individual provider Active NPI

Olga Kosyk

  • Family Nurse Practitioner
  • Deerfield Beach, FL
National Provider Identifier
1780144097
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11024524 Issued in FL
Practice address
4234 NW 1St Dr
Deerfield Beach, FL 33442-9200
Phone
(215) 609-7488
NPI assigned
Mar 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse)Group: 193400000X SINGLE SPECIALTY GROUP 163WL0100X RN9375997 FL
Family Nurse Practitioner 363LF0000X APRN11024524 FL Primary

Addresses

Primary practice location

4234 NW 1St Dr
Deerfield Beach, FL 33442-9200

Mailing address

4234 NW 1St Dr
Deerfield Beach, FL 33442-9200
Phone (215) 609-7488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20260518003998 FL Practitioner - Nurse Practitioner 8729562590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Wellness Medical PAGroup PAC ID 7012325301, 2 clinicians

Practice addresses (Care Compare)

2900 N Military TRL
Suite 107
Boca Raton, FL 33431-6347
Phone (718) 954-2202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN9375997FLMDLactation Consultant (Registered Nurse)
APRN11024524FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Essential Health Medical LLC Single Specialty CurrentSince Mar 26, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: olga.kosyk.1@31216.direct.athenahealth.com

Organizations & group practices 2

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": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1780144097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 NW 1ST DR",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334429200",
            "telephone_number": "215-609-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4234 NW 1ST DR",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334429200",
            "telephone_number": "215-609-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSYK",
        "first_name": "OLGA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "FL",
            "license": "RN9375997",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11024524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.