Individual provider Active NPI

Ellah C. Nota, CRNP

  • Adult Health Nurse Practitioner
  • Media, PA
National Provider Identifier
1093094179
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP012240 Issued in PA
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130424000693 PA Practitioner - Nurse Practitioner 0244401602 Reassigns benefits to 3 organizations

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

LicenseStateTypeSpecialty
127415IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. CurrentSince Sep 5, 2017 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Sep 5, 2017 Accepting new patients
AIDS Care Group CurrentSince Feb 15, 2013 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Medical House Call Clinic LLC Adult Health CurrentSince Nov 1, 2022 Accepting new patients
AIDS Care Group CurrentSince Feb 15, 2013 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.