Individual provider Active NPI

Katlyn Duffy, CRNP

  • Family Nurse Practitioner
  • Lansdale, PA
National Provider Identifier
1053040311
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP023999 Issued in PA
Practice address
1019 S Broad St
Lansdale, PA 19446-5338
Phone
(215) 361-5090
NPI assigned
Jun 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP023999 PA Primary

Addresses

Primary practice location

1019 S Broad St
Lansdale, PA 19446-5338

Mailing address

313 Schadle Rd
Perkasie, PA 18944-4207
Phone (856) 938-6411

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
I20220712000057 PA Practitioner - Nurse Practitioner 0244610954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LMG Family Practice PCGroup PAC ID 1759286172, 11 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

1019 S Broad St
Lansdale, PA 19446-5338
Phone (215) 361-5090

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP023999PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LMG Family Practice PC CurrentSince Jun 27, 2022 Accepting new patients
LMG Family Practice PastSince Jun 12, 2022 Accepting new patients

Locations

653 Skippack Pike
Ste 100
Blue Bell, PA 19422
Phone (610) 272-9400

653 Skippack Pike
Ste 100A
Blue Bell, PA 19422

1019 S Broad St
Lansdale, PA 19446
Phone (215) 361-5090

Interoperability endpoints

  • Direct secure messaging: katlyn.duffy.p1@direct.lmg.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1053040311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 SCHADLE RD",
            "city": "PERKASIE",
            "state": "PA",
            "postal_code": "189444207",
            "telephone_number": "856-938-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 S BROAD ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465338",
            "telephone_number": "215-361-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "KATLYN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP023999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

Verify at the official NPI Registry.