Individual provider Active NPI

Kevin Patrick O'Shea, CRNP

  • Nurse Practitioner
  • Jenkintown, PA
National Provider Identifier
1942391750
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP009030 Issued in PA
Practice address
500 York Rd Ste 201
Jenkintown, PA 19046-2872
Phone
(215) 517-1212
Fax
(215) 517-1229
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP009030 PA
Nurse Practitioner 363L00000X SP009030 PA Primary

Addresses

Primary practice location

500 York Rd Ste 201
Jenkintown, PA 19046-2872

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

1190 Old York Rd Ste 200
Warminster, PA 18974-2047
Phone (215) 420-1340

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
I20061213000558 PA Practitioner - Nurse Practitioner 3476552712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

1190 Old York Rd
Suite 200
Warminster, PA 18974-2047
Phone (215) 420-1340

180 Fort Couch Rd
Suite 200
Pittsburgh, PA 15241-1046
Phone (412) 595-0430

447 Woodbourne Rd
Langhorne, PA 19047-4300
Phone (215) 486-8272

500 York Rd
Suite 201
Jenkintown, PA 19046-2872
Phone (215) 517-1212

Merit-based Incentive Payment System (MIPS)

Final score
86.54 of 100Reported as group
Quality
93.33
Improvement activities
40
Cost
64.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP009030PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Mar 25, 2025 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Mar 25, 2025 Accepting new patients
Forefront Dermatology, S.C. Current Accepting new patients

Locations

500 York Rd
Ste 201
Jenkintown, PA 19046
Phone (215) 517-1212

447 Woodbourne Rd
Langhorne, PA 19047
Phone (215) 486-8272

180 Fort Couch Rd
Ste 200
Pittsburgh, PA 15241
Phone (412) 595-0430

1190 Old York Rd
Ste 200
Warminster, PA 18974
Phone (215) 420-1340

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: kevin.oshea@forefrontdermatology.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1942391750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 YORK RD STE 201",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462872",
            "telephone_number": "215-517-1212",
            "fax_number": "215-517-1229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1190 Old York Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Warminster",
            "state": "PA",
            "postal_code": "189742047",
            "country_code": "US",
            "telephone_number": "215-420-1340",
            "fax_number": "215-420-1363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'SHEA",
        "first_name": "KEVIN",
        "middle_name": "PATRICK",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP009030",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP009030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

Verify at the official NPI Registry.