Active NPI
Riana Nicolaysen
- Nurse Practitioner
- Tarzana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP030566
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 359127 | NY | MD | Nurse Practitioner |
| SP030566 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ophelia Medical Group FL, P.a. | Current | Accepting new patients | |
| Ophelia Medical Group, P.C. | Addiction (Substance Use Disorder) | Current | 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.
-
- Addiction Medicine (Family Medicine) Physician
- Philadelphia, PA
- NPI 1588244750
NY, PA
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Philadelphia, PA
- NPI 1376179150
Addiction (Substance Use Disorder)
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.