Active NPI
Ellah C. Nota, CRNP
- Adult Health Nurse Practitioner
- Media, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- SP012240
- Practice address
- 27 Glen Riddle Rd
Media, PA 19063-5228 - Phone
- (610) 410-9933
- Fax
- (360) 291-7711
- NPI assigned
- Aug 8, 2011
- Last updated
- Jul 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 127415 | IA | |
| Adult Health Nurse Practitioner | 363LA2200X | SP012240 | PA | Primary |
Addresses
Primary practice location
27 Glen Riddle Rd
Media, PA 19063-5228
Mailing address
27 Glen Riddle Rd
Media, PA 19063-5228
Phone (610) 410-9933
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | enotamedicalhousecalls@gmail.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
27 Glen Riddle Rd
Media, PA 19063-5228
Phone (610) 410-9933
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127415 | IA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| AIDS Care Group | Current | Accepting new patients | |
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Medical House Call Clinic LLC | Adult Health | Current | Accepting new patients |
| AIDS Care Group | Current | Accepting new patients | |
| Prospect Health Access Network, Inc. | Current | Accepting new patients |
Locations
1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666
1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744
2304 Edgmont Ave
Chester, PA 19013
Phone (610) 872-9101
5030 State Rd
Ste 2-400
Drexel Hill, PA 19026
Phone (610) 394-1350
100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281
Interoperability endpoints
- ellah.nota@chpm.cernerdirect.com
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.
-
- Adult Health Nurse Practitioner
- Media, PA
- NPI 1871227892
-
- Clinic/Center
- Chester, PA
- NPI 1477592400
-
- Emergency Medicine Physician
- Chester, PA
- NPI 1568819084
-
- Diagnostic Radiology Physician
- Chester, PA
- NPI 1154776797
-
- Hospitalist Physician
- Ridley Park, PA
- NPI 1235584731
-
- Internal Medicine Physician
- Chester, PA
- NPI 1912354432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657497600000",
"number": "1093094179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 GLEN RIDDLE RD",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635228",
"telephone_number": "610-410-9933",
"fax_number": "360-291-7711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 GLEN RIDDLE RD",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635228",
"telephone_number": "610-410-9933",
"fax_number": "360-291-7711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOTA",
"first_name": "ELLAH",
"middle_name": "C.",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-08",
"last_updated": "2022-07-11",
"certification_date": "2022-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "127415",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP012240",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "enotamedicalhousecalls@gmail.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "e-mail",
"address_1": "27 Glen Riddle Rd",
"city": "Media",
"state": "PA",
"country_code": "US",
"postal_code": "190635228",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.