Active NPI
Ayanna S Kersey-McMullen, DO, MSPH
- Physical Medicine & Rehabilitation Physician
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- OS017783
- Practice address
- 850 South 5TH Street
Good Shepherd Rehabilitation Hospital
Allentown, PA 18103 - Phone
- (610) 776-3278
- NPI assigned
- Jun 30, 2011
- Last updated
- Dec 29, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | OS017783 | PA | Primary |
Addresses
Primary practice location
850 South 5TH Street
Good Shepherd Rehabilitation Hospital
Allentown, PA 18103
Mailing address
850 South 5TH Street
Good Shepherd Rehabilitation Hospital
Allentown, PA 18103
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.66 of 100
- Quality
- 73.72
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS017783 | PA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care P.a. | Current | Accepting new patients | |
| Mercy Home Health | Current | Accepting new patients | |
| Mercy Home Health | Current | Accepting new patients | |
| American Current Care PA | Current | Accepting new patients | |
| American Current Care PA PC | Current | Accepting new patients |
Locations
41 University Dr
Ste 103
Newtown, PA 18940
Phone (267) 569-0760
2010 Levick St
Philadelphia, PA 19149
Phone (215) 537-4755
219 N Broad St
Ste 101
Philadelphia, PA 19107
Phone (215) 762-8525
15 Freeport Rd
Ste 100
Pittsburgh, PA 15215
Phone (412) 784-1551
Organizations & group practices 5
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.
-
dba St. Mary Home Care and Hospice
- Community Based Hospice Care Agency
- Newtown, PA
- NPI 1467206490
-
- Urgent Care Clinic/Center
- Lancaster, PA
- NPI 1730378225
-
- Home Health Agency
- Newtown, PA
- NPI 1467412296
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482969600000",
"number": "1114214921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 SOUTH 5TH STREET",
"address_2": "GOOD SHEPHERD REHABILITATION HOSPITAL",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "18103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 SOUTH 5TH STREET",
"address_2": "GOOD SHEPHERD REHABILITATION HOSPITAL",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "18103",
"telephone_number": "610-776-3278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERSEY-MCMULLEN",
"first_name": "AYANNA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DO, MSPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-30",
"last_updated": "2016-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "OS017783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.