JOUDELYNE MYRTHA ALTIDOR FNP
NPI 1508786260
Nurse Practitioner - Family in Philadelphia, PA
About Joudelyne Myrtha Altidor Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOUDELYNE MYRTHA ALTIDOR FNP (NPI 1508786260) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP036059) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Joudelyne Myrtha Altidor Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Joudelyne Altidor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19134
- Reassigned Medicare billing, Pennsylvania enrollment
- 196 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19149 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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19149
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 Joudelyne Altidor's NPI number?
The NPI number for Joudelyne Altidor is 1508786260. It was assigned to this individual provider in the NPPES registry on July 21, 2026.
Where is Joudelyne Altidor located?
Joudelyne Altidor practices at 2311 Cottman Ave Ste 71, Philadelphia, PA 19149. The listed phone number is (215) 444-7505.
What is Joudelyne Altidor's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Joudelyne Altidor enrolled in Medicare?
Yes. Joudelyne Altidor is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Joudelyne Altidor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joudelyne Altidor reassigns Medicare benefits to Osh - PA Physicians Group, PC (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joudelyne Altidor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Joudelyne Altidor was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.
# Joudelyne Myrtha Altidor, FNP · NPI 1508786260
Family physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 21, 2026.
## Identity
- **NPI:** 1508786260 (Entity type: Individual)
- **Enumerated:** July 21, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP036059 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2311 COTTMAN AVE STE 71, Philadelphia, PA 19149-1007
- **Phone:** (215) 444-7505
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Osh - PA Physicians Group, PC (NPI 1811405533, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** September 14, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1508786260) · Data from the CMS NPPES public registry.