Individual provider Active NPI

Ann B De Bien, CRNP

  • Nurse Practitioner
  • York, PA
National Provider Identifier
1104856319
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP007897 Issued in PA
Practice address
1620 S Queen St
York, PA 17403-4637
Phone
(717) 843-6663
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP007897 PA
Nurse Practitioner 363L00000X SP007897 PA Primary

Addresses

Primary practice location

1620 S Queen St
York, PA 17403-4637

Mailing address

9800 Shelbyville Rd Ste 220
Louisville, KY 40223-2992
Phone (502) 429-8585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP007897PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Pinnacle Hospitals Past Accepting new patients

Organizations & group practices 1

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1104856319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 SHELBYVILLE RD STE 220",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232992",
            "telephone_number": "502-429-8585",
            "fax_number": "855-656-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 S QUEEN ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034637",
            "telephone_number": "717-843-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE BIEN",
        "first_name": "ANN",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP007897",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP007897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.