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PATRICIA M BOMALASKI CRNP
NPI 1215023114
Nurse Practitioner - Adult Health in Philadelphia, PA

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
51 N 39TH ST, MAB, SUITE 102, PHILADELPHIA, PA 19104(215) 662-9990(215) 243-3297 Get Directions Write a Review

NPPES record last updated: January 27, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Patricia M Bomalaski Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATRICIA M BOMALASKI CRNP (NPI 1215023114) is an individual adult health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP005247C) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1215023114
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NamePATRICIA M BOMALASKICredential: CRNP
Location Address51 N 39TH ST, MAB, SUITE 102Philadelphia, PA 19104-2640
Mailing Address51 N. 39th Street, Mab, Suite 102Philadelphia, PA 19104-2640 · (215) 662-9990 · Fax (215) 243-3297
Phone(215) 662-9990
Fax(215) 243-3297
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 5, 2006
Last NPPES UpdateJanuary 27, 2014
✔ NPI 1215023114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in PA · SP005247C
51 N 39TH ST, Philadelphia, PA 19104
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Other Names 1

Former Name (1)Patricia S Bomalaski Crnp

Other Identifiers 1

Medicare PIN087984PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Patricia M Bomalaski Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092767210
PECOS Enrollment IDI20050216000492
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
140 services125 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
74 services68 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
37 services37 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
20 services20 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

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.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers13 claims13 services$3.57 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers14 claims14 services$185.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT BURKE M.D.
Internal Medicine
51 N 39TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-9436
JOSEPH FRANCIS HARRYHILL MD
Urology
51 N 39TH ST, MOB SUITE 300
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8699
NIELS DOUGLAS MARTIN MD
Surgery (Trauma Surgery)
51 N 39TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8310
DESIREE E KOTARBA CRNA
Registered Nurse
51 N 39TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8000
DR. SONYA LEE MD
Obstetrics & Gynecology (Gynecology)
51 N 39TH ST, MOB 340
PHILA, PA 19104
Philadelphia County (215) 662-9775
GARY J VIGILANTE MD
Internal Medicine (Cardiovascular Disease)
51 N 39TH ST, PHI BLDG STE 2C PENN PRESBYTERIAN MEDICAL CENTER
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-9010
ANITA C LEE MD
Internal Medicine
51 N 39TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-9436
GIRIDHAR MALLYA MD
Family Medicine
51 N 39TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8777

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 Patricia Bomalaski's NPI number?

The NPI number for Patricia Bomalaski is 1215023114. It was assigned to this individual provider in the NPPES registry on October 5, 2006. The provider is also known as Patricia S Bomalaski Crnp.

Where is Patricia Bomalaski located?

Patricia Bomalaski practices at 51 N 39th St Mab, Suite 102, Philadelphia, PA 19104. The listed phone number is (215) 662-9990.

What is Patricia Bomalaski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Patricia Bomalaski enrolled in Medicare?

Yes. Patricia Bomalaski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Patricia Bomalaski affiliated with any hospitals?

According to CMS data, Patricia Bomalaski is affiliated with Hospital Of Univ Of Pennsylvania, Penn Presbyterian Medical Center and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Patricia Bomalaski was last updated on January 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.