DR. NICOLE MARIE OSEVALA (M.D.) – Geriatric Medicine (Internal Medicine) Physician, NPI 1205953015

DR. NICOLE MARIE OSEVALA (M.D.) is a healthcare provider. based in Hershey, Pennsylvania. specializing in GERIATRIC MEDICINE, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD436859 (PA). The NPI Number for DR. NICOLE MARIE OSEVALA (M.D.) is 1205953015

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICOLE MARIE OSEVALA (M.D.)
NPI
1205953015
Phone
(800) 233-4082
Address
500 University Dr
Enumeration Date
25 March 2007
Last Update Date
13 April 2021

Doctor Profile

Medical School Name
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
7175316754
Graduation Year
2003 (23 years ago)
PAC ID
7618060849
Group Practice PAC ID
3870405483
Professional Enrollment ID
I20090624000471
Address ID
PA170332360HE500XXDRXX300

Contacts

Secure Messaging
nosevala@direct.psu.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

360 GERIATRIC MEDICINE in PA

Provider Addresses for DR. NICOLE MARIE OSEVALA (M.D.)

  • 500 University Dr

    Hershey, PA 170332360

    Phone: (800) 233-4082

    Fax: (717) 531-7269

    Type: Location

  • 1135 Olde W Chocolate Ave

    Hummelstown, PA 170369188

    Phone: (800) 243-1455

    Type: Location

  • 2501 N 3rd St

    Harrisburg, PA 171101904

    Phone: (717) 782-6420

    Fax: (717) 782-4727

    Type: Location

  • P.O. BOX 858

    CA410

    HERSHEY, PA 170330858

    Phone: (800) 243-1455

    Type: Mailing

  • 1120 COCOA AVE

    HERSHEY, PA 17033

    Phone: (717) 533-4141

    Fax: (717) 533-9797

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-06-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090624000471IGeriatric MedicinePATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes6220$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes2928$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes1812$0
View full utilization report →

Insurance plans in this area (ZIP 17033)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870405483View full group profile
NameSpecialtyState
P A T H O L O G YPA
Vascular SurgeryMD
O P H T H A L M O L O G YPA
-PA
Nurse PractitionerPA
-FL
-PA
-PA
Emergency MedicinePA
Critical Care (Intensivists)PA

Reviews

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Frequently asked questions

Is DR. NICOLE MARIE OSEVALA (M.D.) listed with a National Provider Identifier?
Yes — DR. NICOLE MARIE OSEVALA (M.D.) has NPI 1205953015 on file in the registry.
Active or inactive — what applies to DR. NICOLE MARIE OSEVALA (M.D.)?
You should see DR. NICOLE MARIE OSEVALA (M.D.) as active in CMS-hosted NPPES data.
What area of care is associated with DR. NICOLE MARIE OSEVALA (M.D.)?
DR. NICOLE MARIE OSEVALA (M.D.)'s record emphasizes Geriatric Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. NICOLE MARIE OSEVALA (M.D.)?
Directory geography for DR. NICOLE MARIE OSEVALA (M.D.) centers on Hershey, Pennsylvania.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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