Active NPI
Paige E Horner, CRNP, MSN
- Gerontology Nurse Practitioner
- Allentown, PA
National Provider Identifier
1003524927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- SP026495
- Practice address
- 972 Buckingham Dr
Allentown, PA 18103-9789 - Phone
- (484) 264-7624
- NPI assigned
- Nov 9, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | SP026495 | PA | Primary |
Addresses
Primary practice location
972 Buckingham Dr
Allentown, PA 18103-9789
Mailing address
2024 Lehigh St Ste 100
Allentown, PA 18103-4938
Phone (610) 402-7800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP026495 | Other | PA | PA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240426000435 | PA | Practitioner - Nurse Practitioner | 8123468998 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients |
Locations
2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892
2024 Lehigh St
Ste 100
Allentown, PA 18103
Phone (610) 402-7800
Interoperability endpoints
- phorner134785@direct2.lvhn.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667952000000",
"number": "1003524927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2024 LEHIGH ST STE 100",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181034938",
"telephone_number": "610-402-7800",
"fax_number": "610-402-7912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "972 BUCKINGHAM DR",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181039789",
"telephone_number": "484-264-7624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORNER",
"first_name": "PAIGE",
"middle_name": "E",
"credential": "CRNP, MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-09",
"last_updated": "2022-11-09",
"certification_date": "2022-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "PA",
"license": "SP026495",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE",
"identifier": "SP026495",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.