Individual provider Active NPI

Riana Nicolaysen

  • Nurse Practitioner
  • Tarzana, CA
National Provider Identifier
1952145351
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP030566 Issued in PA
Practice address
18646 Oxnard St
Tarzana, CA 91356-1486
Phone
(818) 996-1051
NPI assigned
Jun 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP030566 PA Primary
Nurse Practitioner 363L00000X 359127 NY

Addresses

Primary practice location

18646 Oxnard St
Tarzana, CA 91356-1486

Mailing address

18646 Oxnard St
Tarzana, CA 91356-1486
Phone (818) 853-1928

Other practice location 1

161 Cecil B Moore Ave Apt 204
Philadelphia, PA 19122-3243
Phone (866) 306-2026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250514003057 PA Practitioner - Nurse Practitioner 4688192578 Reassigns benefits to 1 organization
I20260310002497 NY Practitioner - Nurse Practitioner 4688192578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ophelia Medical Group FL PAGroup PAC ID 7810398534, 103 clinicians

Practice addresses (Care Compare)

161 Cecil B Moore Ave
Apt 204
Philadelphia, PA 19122-3243
Phone (215) 585-2144

18 E 41St St
FL 14
New York, NY 10017-6244
Phone (215) 585-2144

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
359127NYMDNurse Practitioner
SP030566PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ophelia Medical Group FL, P.a. CurrentSince Apr 28, 2025 Accepting new patients
Ophelia Medical Group, P.C. Addiction (Substance Use Disorder) CurrentSince Apr 28, 2025 Accepting new patients

Locations

228 Park Ave S
New York, NY 10003
Phone (215) 588-2144

18 E 41st St
Fl 14
New York, NY 10017
Phone (305) 395-4313

527 Bay Rd
Ste 7
Queensbury, NY 12804
Phone (212) 585-2144

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": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1952145351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18646 OXNARD ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561486",
            "telephone_number": "818-853-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18646 OXNARD ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561486",
            "telephone_number": "818-996-1051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 Cecil B Moore Ave Apt 204",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191223243",
            "country_code": "US",
            "telephone_number": "866-306-2026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICOLAYSEN",
        "first_name": "RIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-20",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP030566",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "359127",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.