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SUNDALY OUCH CRNP
NPI 1891264735
Nurse Practitioner in Philadelphia, PA

Active since November 21, 2018PECOS Enrolled
76.7/100
CMS Quality Rating
3509 N. BROAD STREET, 4TH FLOOR, BOYER PAVILION, PHILADELPHIA, PA 19140(215) 707-6144(215) 707-5901 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 4, 2021, Nov 21, 2018 (2 updates tracked since 2018).

About Sundaly Ouch Crnp NPPES

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

SUNDALY OUCH CRNP (NPI 1891264735) is an individual nurse practitioner in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP019478) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891264735
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSUNDALY OUCHCredential: CRNP
Location Address3509 N. BROAD STREET, 4TH FLOOR, BOYER PAVILIONPhiladelphia, PA 19140
Mailing Address3509 N. Broad Street, 4th Floor, Boyer PavilionPhiladelphia, PA 19140 · (215) 707-6144 · Fax (215) 707-5901
Phone(215) 707-6144
Fax(215) 707-5901
Sole ProprietorNo
Enumeration DateNovember 21, 2018
Last NPPES UpdateMarch 4, 20212 updates tracked since enumeration
NPPES CertifiedMarch 4, 2021
✔ NPI 1891264735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP019478
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3509 N. BROAD STREET, Philadelphia, PA 19140
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sundaly Ouch Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Sundaly Ouch reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Temple Faculty Practice Plan, Inc
Same address
Otolaryngology
3509 N BROAD ST
Philadelphia, PA 19140
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,991 clinicians in this Medicare group
NPI 1023591781 (215) 707-3663
Jefferson University Physicians
3.9 mi
General Practice
33 S. 9TH STREET
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,739 clinicians in this Medicare group
NPI 1326093675 (215) 955-0000
St Luke's Physician Group Inc
17 mi
Urogynecology and Reconstructive Pelvic Surgery
419 S BROAD ST UNIT 4
Lansdale, PA 19446
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
NPI 1295620607 (215) 536-3200

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 19140 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.19
Promoting Interoperability98
Improvement Activities40
Cost54.93

Other Providers at the Same Location NPPES 3

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

ANN MARY WILFRED MD
Internal Medicine
3509 N. BROAD STREET, BOYER PAVILION, SUITE 226
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-6400
SARAH ELIZABETH SOHNS AUD
Audiologist-Hearing Aid Fitter
3509 N. BROAD STREET
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-3663
ALYSON LYNN MALITSKY DPT
Physical Therapist
3509 N. BROAD STREET
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-2111

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 Sundaly Ouch's NPI number?

The NPI number for Sundaly Ouch is 1891264735. It was assigned to this individual provider in the NPPES registry on November 21, 2018.

Where is Sundaly Ouch located?

Sundaly Ouch practices at 3509 N. Broad Street 4th Floor, Boyer Pavilion, Philadelphia, PA 19140. The listed phone number is (215) 707-6144.

What is Sundaly Ouch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sundaly Ouch enrolled in Medicare?

Yes. Sundaly Ouch is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sundaly Ouch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sundaly Ouch reassigns Medicare benefits to 3 organizations: Temple Faculty Practice Plan, Inc (Philadelphia, PA), Jefferson University Physicians (Philadelphia, PA) and St Luke's Physician Group Inc (Lansdale, PA). 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 Sundaly Ouch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sundaly Ouch accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Sundaly Ouch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sundaly Ouch was last updated on March 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.