Individual provider Active NPI

Lijuan Yuan, CRNP

  • Primary Care Nurse Practitioner
  • Havertown, PA
National Provider Identifier
1023740156
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
SP025810 Issued in PA
Practice address
2010 W Chester Pike Ste 448
Havertown, PA 19083-2741
Phone
(610) 853-2502
NPI assigned
Jun 28, 2022
Last updated
Jun 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X SP025810 PA Primary

Addresses

Primary practice location

2010 W Chester Pike Ste 448
Havertown, PA 19083-2741

Mailing address

105 Oakford Cir
Wayne, PA 19087-3822
Phone (215) 485-2723

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230926001912 PA Practitioner - Nurse Practitioner 9830543784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Everest Medical Care LLCGroup PAC ID 1658382908, 7 clinicians

Practice addresses (Care Compare)

2010 W Chester Pike
Suite 448
Havertown, PA 19083-2741
Phone (610) 853-2502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP025810PAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Everest Medical Care LLC CurrentSince Jun 1, 2023 Accepting new patients

Locations

2600 W 9th St
Unit E2
Chester, PA 19013
Phone (484) 480-4700

2010 W Chester Pike
Ste 448
Havertown, PA 19083
Phone (610) 853-2502

649 Foulkrod St
Unit 302
Philadelphia, PA 19120
Phone (267) 682-5600

6787 Market St
Ste 107
Upper Darby, PA 19082
Phone (610) 352-8000

480 E Swedesford Rd
Ste 120
Wayne, PA 19087
Phone (610) 673-0070

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1023740156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 OAKFORD CIR",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873822",
            "telephone_number": "215-485-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 W CHESTER PIKE STE 448",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832741",
            "telephone_number": "610-853-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUAN",
        "first_name": "LIJUAN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP025810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

Verify at the official NPI Registry.