NPIMap

Individual provider Active NPI

Audrey Diane Scanlon, CRNP

  • Nurse Practitioner
  • Harleysville, PA
National Provider Identifier
1043721616
Registry record updated Oct 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP018194 Issued in PA
Practice address
658 Harleysville Pike Ste 120
Harleysville, PA 19438-2886
Phone
(215) 256-9655
NPI assigned
Oct 23, 2017
Reactivated
Sep 18, 2026
Last updated
Oct 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP018194 PA Primary

Addresses

Primary practice location

658 Harleysville Pike Ste 120
Harleysville, PA 19438-2886

Mailing address

658 Harleysville Pike Ste 120
Harleysville, PA 19438-2886
Phone (215) 256-9655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Grand View HospitalGroup PAC ID 8022001924, 94 clinicians

Practice addresses (Care Compare)

1021 Park Ave
Quakertown, PA 18951-0130

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

658 Harleysville Pike
Suite 120
Harleysville, PA 19438-2886
Phone (215) 256-9655

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN606753PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Nov 30, 2017 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Grand View Hospital CurrentSince Sep 1, 2020 Accepting new patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Nov 30, 2017 Accepting new patients
St Luke's Physician Group Inc CurrentSince Jan 1, 2026 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients

Locations

999 Route 73 N
Ste 401
Marlton, NJ 08053

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

3300 Tillman Dr
Fl 2
Bensalem, PA 19020
Phone (215) 637-1800

700 Horizon Dr
Ste 103
Chalfont, PA 18914
Phone (215) 822-3130

658 Harleysville Pike
Ste 120
Harleysville, PA 19438
Phone (215) 256-9655

833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

99 N West End Blvd
Ste 108
Quakertown, PA 18951
Phone (215) 453-3400

Interoperability endpoints

  • Direct secure messaging: ascanlon350854@direct-sluhn.org

Organizations & group practices 7

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791072000000",
    "number": "1043721616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 HARLEYSVILLE PIKE STE 120",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194382886",
            "telephone_number": "215-256-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 HARLEYSVILLE PIKE STE 120",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194382886",
            "telephone_number": "215-256-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANLON",
        "first_name": "AUDREY",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2026-10-04",
        "certification_date": "2026-10-04",
        "deactivation_date": "2026-09-07",
        "reactivation_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP018194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harleysville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.