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MR. ONEIL ANTHONY GOULBOURNE FNP
NPI 1649819269
Nurse Practitioner - Family in Ossining, NY

Active since December 30, 2019PECOS EnrolledAccepts Medicare Assignment
10 FOWLER AVE, OSSINING, NY 10562(914) 539-5080 Get Directions Write a Review

NPPES record last updated: December 30, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Oneil Anthony Goulbourne Fnp NPPES

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

MR. ONEIL ANTHONY GOULBOURNE FNP (NPI 1649819269) is an individual family provider in Ossining, New York, licensed in New York (F345196-01) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1649819269
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. ONEIL ANTHONY GOULBOURNECredential: FNP
Location Address10 FOWLER AVEOssining, NY 10562-1918
Mailing Address10 Fowler AveOssining, NY 10562-1918 · (914) 539-5080
Phone(914) 539-5080
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 30, 2019
✔ NPI 1649819269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F345196-01
10 FOWLER AVE, Ossining, NY 10562
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Oneil Anthony Goulbourne Fnp 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 ID5991133829
PECOS Enrollment IDI20200306002340
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Oneil Goulbourne reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Divinity Medical Services PLLC
7.3 mi
Urgent Care
3379 CROMPOND RD
Yorktown Heights, NY 10598
  • Reassigned Medicare billing, New York enrollment
  • 149 clinicians in this Medicare group
NPI 1497159560 (914) 844-9803
Sun River Health Inc.
7.5 mi
Federally Qualified Health Center (FQHC)
1037 MAIN ST, HUDSON RIVER HEALTHCARE, INC.
Peekskill, NY 10566
  • Reassigned Medicare billing, New York enrollment
  • 683 clinicians in this Medicare group
NPI 1619969458 (914) 734-8800
Park Hill Emergency Physician Services
18 mi
Emergency Medicine
127 S BROADWAY
Yonkers, NY 10701
  • Reassigned Medicare billing, New York enrollment
  • 63 clinicians in this Medicare group
NPI 1396123360 (914) 378-7000
Urgent Care Physician Of New York-Hartsdale PLLC
25 mi
Urgent Care
843 HUTCHINSON RIVER PKWY
Bronx, NY 10465
  • Reassigned Medicare billing, New York enrollment
  • 37 clinicians in this Medicare group
NPI 1770885808 (718) 925-4400
Delaware River Medicine, PLLC
44 mi
Emergency Medicine
160 E MAIN ST
Port Jervis, NY 12771
  • Reassigned Medicare billing, New York enrollment
  • 57 clinicians in this Medicare group
NPI 1457987521 (888) 264-0330

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.
121 services106 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
108 services50 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
76 services71 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.
54 services49 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
40 services40 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
32 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10562 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Oneil Goulbourne's NPI number?

The NPI number for Oneil Goulbourne is 1649819269. It was assigned to this individual provider in the NPPES registry on December 30, 2019.

Where is Oneil Goulbourne located?

Oneil Goulbourne practices at 10 Fowler Ave, Ossining, NY 10562. The listed phone number is (914) 539-5080.

What is Oneil Goulbourne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Oneil Goulbourne enrolled in Medicare?

Yes. Oneil Goulbourne 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.

Which organizations bill Medicare for Oneil Goulbourne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Oneil Goulbourne reassigns Medicare benefits to 5 organizations: Divinity Medical Services PLLC (Yorktown Heights, NY), Sun River Health Inc. (Peekskill, NY), Park Hill Emergency Physician Services (Yonkers, NY), Urgent Care Physician Of New York-Hartsdale PLLC (Bronx, NY) and Delaware River Medicine, PLLC (Port Jervis, NY). Each 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 Oneil Goulbourne'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 Oneil Goulbourne was last updated on December 30, 2019. 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.