Individual provider Active NPI

Lisa Bengle, MSN RN FNP-BC

  • Family Nurse Practitioner
  • Doylestown, PA
National Provider Identifier
1073048179
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP017012 Issued in PA
Practice address
708 N Shady Retreat Rd Ste 5
Doylestown, PA 18901-2503
Phone
(215) 348-5888
Fax
(215) 348-7001
NPI assigned
Apr 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN640726 PA
Family Nurse Practitioner 363LF0000X SP017012 PA Primary

Addresses

Primary practice location

708 N Shady Retreat Rd Ste 5
Doylestown, PA 18901-2503

Mailing address

PO Box 829641
Philadelphia, PA 19182-0001
Phone (267) 370-5296

Other practice location 1

770 Newtown Yardley Rd
Ste 221
Newtown, PA 18940-4501
Phone (215) 860-2990

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
I20170612002703 PA Practitioner - Nurse Practitioner 4688942899 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medex Urgent Care LLCGroup PAC ID 5890148175, 4 clinicians

Practice addresses (Care Compare)

15200 Bustleton Ave
Suite 4
Philadelphia, PA 19116-1196
Phone (215) 376-3339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN640726PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Medex Urgent Care LLC CurrentSince Jun 1, 2024 Accepting new patients
Via Affiliates CurrentSince Jul 1, 2020 Accepting new patients
Via Affiliates CurrentSince Jul 1, 2020 Accepting new patients
Via Affiliates Current Accepting new patients
Buxmont Medical Associates, PC CurrentSince Nov 19, 2018 Accepting new patients

Locations

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

708 N Shady Retreat Rd
Ste 5
Doylestown, PA 18901
Phone (215) 348-5888

15200 Bustleton Ave
Ste 4
Philadelphia, PA 19116
Phone (215) 376-3339

847 Easton Rd
Ste 2500
Warrington, PA 18976
Phone (215) 918-5555

Interoperability endpoints

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

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1073048179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829641",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191820001",
            "telephone_number": "267-370-5296",
            "fax_number": "215-230-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 N SHADY RETREAT RD STE 5",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012503",
            "telephone_number": "215-348-5888",
            "fax_number": "215-348-7001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 Newtown Yardley Rd",
            "address_2": "STE 221",
            "address_purpose": "LOCATION",
            "city": "Newtown",
            "state": "PA",
            "postal_code": "189404501",
            "country_code": "US",
            "telephone_number": "215-860-2990",
            "fax_number": "215-860-0347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENGLE",
        "first_name": "LISA",
        "name_prefix": "Miss",
        "credential": "MSN RN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-26",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN640726",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.