Augustina Fakiyesi
Nurse Practitioner, Family in Wyncote, PA. Individual provider (NPI-1).
NPI number1013373786
StatusActive
Last updated in NPPESApr 28, 2025
Details
- NPI
- 1013373786
- Entity type
- Individual (NPI-1)
- Name
- Augustina Fakiyesi
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 11, 2016
- Certification date
- Apr 28, 2025
- Last updated
- Apr 28, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | SP015662 | PA | Yes |
Practice location
2401 W Cheltenham AveWyncote, PA 19095-2946
Phone 215-444-7471
Mailing address
Po Box 746722Atlanta, GA 30374-6722
Phone 312-733-9730
Other practice locations
1430 Dekalb St
Norristown, PA 19401-3426
Norristown, PA 19401-3426
Phone 484-213-7193
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Family Nurse Practitioner providers in Wyncote, PA
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- Marissa Christen Thompson, CRNPNPI 1831951557
- Jennifer Newton Sabia, NPNPI 1255929345
- Regina E Stanton, CRNPNPI 1548337819
All 5 Family Nurse Practitioner providers in Wyncote · All 311 providers in Wyncote
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