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FAMILY PRACTICE ASSOCIATES OF UPPER DUBLIN
NPI 1811921166
Family Medicine in Fort Washington, PA

Active since July 11, 2006
1244 FORT WASHINGTON AVE, STE E2, FORT WASHINGTON, PA 19034(215) 646-1686(215) 628-4956 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 13, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Family Practice Associates Of Upper Dublin NPPES

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

FAMILY PRACTICE ASSOCIATES OF UPPER DUBLIN (NPI 1811921166) is a healthcare organization registered as a family medicine in Fort Washington, Pennsylvania and active in the NPI registry since July 2006. The organization lists Raynetta Wallace, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1811921166
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY PRACTICE ASSOCIATES OF UPPER DUBLIN
Location Address1244 FORT WASHINGTON AVE, STE E2Fort Washington, PA 19034
Mailing Address1244 Fort Washington Ave Ste E2Fort Washington, PA 19034-1743 · (215) 646-1686 · Fax (215) 692-8005
Phone(215) 646-1686
Fax(215) 628-4956
Organization SubpartNo
Authorized OfficialRaynetta WallaceOperations Manager · (267) 468-7462
Enumeration DateJuly 11, 2006
Last NPPES UpdateNovember 13, 20252 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
✔ NPI 1811921166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1244 FORT WASHINGTON AVE, Fort Washington, PA 19034
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Practice Associates Of Upper Dublin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Family Practice Associates Of Upper Dublin, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Colleen Devinney, D.O.
Family Practice
NPI 1518923481
1244 FORT WASHINGTON AVE STE E2
Fort Washington, PA 19034
(215) 646-1686
✔ PECOS✔ Accepts MedicareSame address
Nicole Govannicci, CRNP
Nurse Practitioner
NPI 1891407409
1244 FORT WASHINGTON AVE STE E2
Fort Washington, PA 19034
(215) 646-1686
✔ PECOS✔ Accepts MedicareSame address
Christian Iversen, MD
Family Practice
NPI 1578149597
1244 FORT WASHINGTON AVE STE E2
Fort Washington, PA 19034
(215) 646-1686
✔ PECOS✔ Accepts MedicareSame address
Cassandra Liu, M.D.
Family Practice
NPI 1922208180
1244 FORT WASHINGTON AVE E2
Fort Washington, PA 19034
(215) 646-5495
✔ PECOS✔ Accepts MedicareSame address
Daniel Moscow, MD
Family Practice
NPI 1124067350
1244 FORT WASHINGTON AVE STE E2
Fort Washington, PA 19034
(215) 646-1686
✔ PECOS✔ Accepts MedicareSame address
Olisvier Ortiz, MSN, RN, FNP-BC
Nurse Practitioner
NPI 1932645587
835 OLD YORK RD
Jenkintown, PA 19046
(215) 886-2923
✔ PECOS✔ Accepts Medicare5.1 mi
Blessy Mathew, FNP-BC
Nurse Practitioner
NPI 1235572538
2385 CHELTENHAM AVENUE
Philadelphia, PA 19150
(215) 576-1681
✔ PECOS✔ Accepts Medicare5.9 mi
Sheriann Wilkins, CRNP
Nurse Practitioner
NPI 1740879626
3401 N BROAD ST
Philadelphia, PA 19140
(215) 707-5030
✔ PECOS✔ Accepts Medicare11 mi
Richard Dyer
Nurse Practitioner
NPI 1720676489
6232 MARKET ST FL 2
Philadelphia, PA 19139
(267) 819-1800
✔ PECOS✔ Accepts Medicare13 mi

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

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 Family Practice Associates Of Upper Dublin's NPI number?

The NPI number for Family Practice Associates Of Upper Dublin is 1811921166. It was assigned to this organization in the NPPES registry on July 11, 2006.

Where is Family Practice Associates Of Upper Dublin located?

Family Practice Associates Of Upper Dublin is located at 1244 Fort Washington Ave Ste E2, Fort Washington, PA 19034. The listed phone number is (215) 646-1686.

What is Family Practice Associates Of Upper Dublin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Family Practice Associates Of Upper Dublin enrolled in Medicare?

Yes. Family Practice Associates Of Upper Dublin is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Practice Associates Of Upper Dublin?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Family Practice Associates Of Upper Dublin. A 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 the clinician's services. The largest specialties are Nurse Practitioner (5) and Family Practice (4). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Family Practice Associates Of Upper Dublin was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.