1. Home
  2. Directory
  3. Ohio
  4. Blacklick
  5. Nurse Practitioner
  6. NPI Profile

AYAN ADEN OMAR
NPI 1801603162
Nurse Practitioner - Family in Blacklick, OH

Active since December 11, 2024PECOS EnrolledAccepts Medicare Assignment
7737 LANTANA AVE, BLACKLICK, OH 43004(740) 409-4049 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ayan Aden Omar NPPES

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

AYAN ADEN OMAR (NPI 1801603162) is an individual family provider in Blacklick, Ohio, licensed in Ohio (APRN.CNP.0038269) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, is affiliated with Willapa Harbor Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1801603162
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAYAN ADEN OMAR
Location Address7737 LANTANA AVEBlacklick, OH 43004-8064
Mailing Address7737 Lantana AveBlacklick, OH 43004-8064 · (740) 409-4049
Phone(740) 409-4049
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 11, 2024
NPPES CertifiedDecember 11, 2024
✔ NPI 1801603162 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 OH · APRN.CNP.0038269
7737 LANTANA AVE, Blacklick, OH 43004
Open in Google Maps ↗

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

Ayan Aden Omar 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 ID6002339496
PECOS Enrollment IDI20250326001983, I20260216001981
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.

Hospital Affiliations CMS Care Compare

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

Willapa Harbor Hospital

Critical Access Hospitals · South Bend, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501303
Location800 Alder StreetSouth Bend, WA 98586 · Pacific County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43004 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 Ayan Omar's NPI number?

The NPI number for Ayan Omar is 1801603162. It was assigned to this individual provider in the NPPES registry on December 11, 2024.

Where is Ayan Omar located?

Ayan Omar practices at 7737 Lantana Ave, Blacklick, OH 43004. The listed phone number is (740) 409-4049.

What is Ayan Omar's specialty?

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

Is Ayan Omar enrolled in Medicare?

Yes. Ayan Omar 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 Ayan Omar affiliated with any hospitals?

According to CMS data, Ayan Omar is affiliated with Willapa Harbor Hospital.

When was this NPI record last updated?

The NPPES record for Ayan Omar was last updated on December 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.