Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mikayla Nicole Osorio, PA-C

Individual provider Medical Physician Assistant · NPI 1932855822

Mikayla Nicole Osorio, PA-C is a Physician Assistant in Philadelphia, Pennsylvania. Qualified in 2021, 5 years ago. Practices with Evangelical Medical Services Organization, a 259-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
5
Licensed in
PA
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1412 Fairmount Ave
Philadelphia, PA 19130-2908
Phone: (215) 235-9600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3 Hospital Dr Ste 312, Lewisburg, PA 17837-8909 — (570) 523-8700
  • 21 Susquehanna Valley Mall Dr Ste C, Selinsgrove, PA 17870-9148 — (570) 523-8700

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA063404 (PA)

Record details

NPI number1932855822
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 1, 2022
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Evangelical Medical Services Organization — 259 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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