Chrisline Nicolas, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP017271 Issued in PA

Practice address

7101 Old York Rd
Philadelphia, PA 19126

Phone

(610) 584-1000

NPI assigned

Apr 18, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, DE2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Preventive Measures LLCGroup PAC ID 0345563615, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chrisline.nicolas.1@24969.direct.athenahealth.com

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.

• Preventive Measures, LLC

  • Community/Behavioral Health Agency
  • Allentown, PA
  • NPI 1235470857
  Medicare reassignment Care Compare group NPD
• Aviva Mental Health Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Collingdale, PA
  • NPI 1083110605
  Medicare reassignment NPD
• B Nelson LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • State College, PA
  • NPI 1770173858
  Medicare reassignment NPD
• Human Services, Inc

  • Adult Mental Health Clinic/Center
  • Coatesville, PA
  • NPI 1245403237
  Medicare reassignment NPD
• Diversity Care NP Group LLC

  • Nurse Practitioner
  • Bear, DE
  • NPI 1811862113
  Medicare reassignment NPD
• Bet-El Counseling Services, Inc

  • Psychiatry Physician
  • Allentown, PA
  • NPI 1457853020
  NPD
• Human Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Thorndale, PA
  • NPI 1174089023
  NPD
• Human Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Coatesville, PA
  • NPI 1154887693
  NPD
• Optimum Care Counseling & Wellness Solutions, LLC

  • Community/Behavioral Health Agency
  • Wyomissing, PA
  • NPI 1619217395
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1013441906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 EXTON SQUARE PKWY",
            "address_2": "UNIT 1417",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193415047",
            "telephone_number": "484-274-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 OLD YORK RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19126",
            "telephone_number": "610-584-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "833 N Park Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Wyomissing",
            "state": "PA",
            "postal_code": "196101341",
            "country_code": "US",
            "telephone_number": "610-670-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICOLAS",
        "first_name": "CHRISLINE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP017271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Marie Nickman, D.M.D.
• Kelly Nicol, DO
• Marios Nicolaou, M.D., PH.D.
• Clara Teresa Nicolas Martinez, MD
• Alexander Ryn Nicolas
• Michael Nicolette, MD
• Niles Nicolo, DDS
• Susan C Nicolson, M.D.
• Brady Nicosia, DO
• Arianna Nicotra

• Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.