Individual provider Active NPI

Ayanna S Kersey-McMullen, DO, MSPH

  • Physical Medicine & Rehabilitation Physician
  • Allentown, PA
National Provider Identifier
1114214921
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OS017783 Issued in PA
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, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151006003187 PA Practitioner - Physical Medicine and Rehabilitation 8426208588 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.66 of 100Reported as group
Quality
73.72
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS017783PAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Mar 3, 2025 Accepting new patients
Mercy Home Health CurrentSince Jan 6, 2025 Accepting new patients
Mercy Home Health CurrentSince Jan 6, 2025 Accepting new patients
American Current Care PA Current Accepting new patients
American Current Care PA PC CurrentSince Mar 3, 2025 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.

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

Verify at the official NPI Registry.