MRS. COLLEEN O'BRIEN PODULKA (CRNP) – Family Nurse Practitioner, NPI 1477896140
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,473 NURSE PRACTITIONER in PA
Provider Addresses for MRS. COLLEEN O'BRIEN PODULKA (CRNP)
4077 THOMPSON RD
LAFAYETTE HILL, PA 194441407
Phone: (484) 351-8217
Type: Mailing
925 CHESTNUT ST
PHILADELPHIA, PA 191074216
Phone: (215) 955-4226
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $327.
Total Amount is formed as General ($327) + Research ($0) + Ownership ($0) = $327.
Last reported payment date: 2024-01-18 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($167).
Total Amount
$327
General + Research + Ownership
Payments
6
Total payment records
General Amount
$327
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2019-10-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191016002203 | I | Nurse Practitioner | PA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19444)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| E N D O C R I N O L O G Y | PA | |
| - | PA | |
| Internal Medicine | PA | |
| Nurse Practitioner | PA | |
| N E U R O L O G Y | PA | |
| - | PA | |
| - | PA | |
| Diagnostic Radiology | PA | |
| - | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA |
Reviews
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