Individual provider Active NPI

Niekey Carl-Osman, CRNP

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1932809134
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP027115 Issued in PA
Practice address
4700 Wissahickon Ave
Philadelphia, PA 19144-4248
Phone
(267) 597-3600
NPI assigned
Mar 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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 SP027115 PA Primary

Addresses

Primary practice location

4700 Wissahickon Ave
Philadelphia, PA 19144-4248

Mailing address

4700 Wissahickon Ave
Philadelphia, PA 19144-4248

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
I20241113003970 PA Practitioner - Nurse Practitioner 0941679369 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Family Practice and Counseling Services NetworkGroup PAC ID 7012424740, 40 clinicians

Practice addresses (Care Compare)

4700 Wissahickon Ave
Suite 118
Philadelphia, PA 19144-4248
Phone (267) 597-3600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP027115PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice & Counseling Services Network, Inc. CurrentSince Jun 15, 2025 Accepting new patients
Resources for Human Development, Inc. Current Accepting new patients
Family Practice & Counseling Services Network, Inc. CurrentSince Aug 10, 2024 Accepting new patients
Family Practice & Counseling Services Network, Inc. CurrentSince Aug 10, 2024 Accepting new patients
Resources for Human Development, Inc. Past Accepting new patients

Locations

2401 S 67th St
Philadelphia, PA 19142
Phone (215) 400-8100

4030 Brown St
Philadelphia, PA 19104
Phone (215) 386-5768

1301 Belmont Ave
Philadelphia, PA 19104
Phone (267) 597-3604

2300 W Master St
Philadelphia, PA 19121
Phone (267) 687-1172

4700 Wissahickon Ave
Philadelphia, PA 19144
Phone (215) 843-9720

4700 Wissahickon Ave
Bldg D
Philadelphia, PA 19144
Phone (215) 843-9720

311 N 19th St
Philadelphia, PA 19103
Phone (267) 788-1421

4101 Freeland Ave
Philadelphia, PA 19128
Phone (267) 597-3604

4700 Wissahickon Ave
Ste 118
Philadelphia, PA 19144
Phone 26759736006771

1400 W Olney Ave
Philadelphia, PA 19141
Phone (215) 276-5258

850 N 11th St
Philadelphia, PA 19123
Phone (215) 685-2684

6120 Woodland Ave
Fl The
Philadelphia, PA 19142
Phone (215) 727-4721

6501 Limekiln Pike
Philadelphia, PA 19138
Phone (215) 400-7450

6120 Woodland Ave
Fl 2
Philadelphia, PA 19142
Phone (215) 727-4721

Organizations & group practices 5

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": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1932809134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 WISSAHICKON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191444248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 WISSAHICKON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191444248",
            "telephone_number": "267-597-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARL-OSMAN",
        "first_name": "NIEKEY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP027115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.