WINIFRED OLUCHI GBOMITA CRNP
NPI 1174925648
Nurse Practitioner - Family in Philadelphia, PA
About Winifred Oluchi Gbomita Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WINIFRED OLUCHI GBOMITA CRNP (NPI 1174925648) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP013598) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Winifred Oluchi Gbomita Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19104
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Winifred Gbomita's NPI number?
The NPI number for Winifred Gbomita is 1174925648. It was assigned to this individual provider in the NPPES registry on September 16, 2014. The provider is also known as Winifred Oluchi Iwu.
Where is Winifred Gbomita located?
Winifred Gbomita practices at 3535 Market St Ste 100, Philadelphia, PA 19104. The listed phone number is (800) 873-8845.
What is Winifred Gbomita's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Winifred Gbomita enrolled in Medicare?
Yes. Winifred Gbomita is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Winifred Gbomita was last updated on February 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Winifred Oluchi Gbomita, CRNP · NPI 1174925648
Family physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 16, 2014.
## Identity
- **NPI:** 1174925648 (Entity type: Individual)
- **Enumerated:** September 16, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP013598 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3535 MARKET ST STE 100, Philadelphia, PA 19104-3376
- **Phone:** (800) 873-8845
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 14, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1174925648) · Data from the CMS NPPES public registry.