Individual provider Active NPI

Olisvier Ortiz, MSN, RN, FNP-BC

  • Family Nurse Practitioner
  • Jenkintown, PA
National Provider Identifier
1932645587
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP017076 Issued in PA
Practice address
835 Old York Rd
Jenkintown, PA 19046-1601
Phone
(215) 886-2923
NPI assigned
Jan 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

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 SP017076 PA Primary

Addresses

Primary practice location

835 Old York Rd
Jenkintown, PA 19046-1601

Mailing address

1244 Fort Washington Ave
Ste E2
Fort Washington, PA 19034-1743
Phone (267) 468-7462

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
I20170418000525 PA Practitioner - Nurse Practitioner 2062798531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Practice Associates of Upper DublinGroup PAC ID 1850376211, 8 clinicians

Practice addresses (Care Compare)

1244 Fort Washington Ave
Suite E2
Fort Washington, PA 19034-1743
Phone (215) 646-1686

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Associates of Upper Dublin CurrentSince Jun 1, 2019 Accepting new patients

Locations

1244 Fort Washington Ave
Ste E2
Ft Washington, PA 19034
Phone (215) 646-1686

Interoperability endpoints

  • Direct secure messaging: olisvier.ortiz@fpud.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BEFDBD

Organizations & group practices 1

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": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1932645587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 FORT WASHINGTON AVE",
            "address_2": "STE E2",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190341743",
            "telephone_number": "267-468-7462",
            "fax_number": "215-692-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 OLD YORK RD",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190461601",
            "telephone_number": "215-886-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "OLISVIER",
        "credential": "MSN, RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-06",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

Verify at the official NPI Registry.