Individual provider Active NPI

Addison Haskins, CRNP

  • Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1114429107
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00787300 Issued in NJ
Practice address
132 S 10TH St
Philadelphia, PA 19107-5244
Phone
(800) 533-3669
NPI assigned
Mar 6, 2018
Last updated
Aug 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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 26NJ00787300 NJ Primary
Acute Care Nurse Practitioner 363LA2100X SP018411 PA

Addresses

Primary practice location

132 S 10TH St
Philadelphia, PA 19107-5244

Mailing address

PO Box 7776
Lancaster, PA 17604-7776
Phone (252) 902-7028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20180921000443 NJ Practitioner - Nurse Practitioner 4486905031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Spine and Pain LLCGroup PAC ID 0648358234, 43 clinicians

Practice addresses (Care Compare)

310 Egg Harbor Rd
Sewell, NJ 08080-1854
Phone (856) 589-4500

Merit-based Incentive Payment System (MIPS)

Final score
85.69 of 100Reported as group
Quality
69.54
Promoting interoperability
95
Improvement activities
40
Cost
75.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP018411PAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Spine and Pain, LLC CurrentSince Sep 1, 2018 Accepting new patients
Advanced Spine and Pain LLC Current Accepting new patients
Advanced Spine and Pain, LLC CurrentSince Sep 1, 2018 Accepting new patients
Advanced Spine and Pain, LLC PastSince Feb 12, 2023 Accepting new patients

Locations

429 White Horse Pike
Atco, NJ 08004
Phone (856) 753-1111

1400 Route 70 E
Cherry Hill, NJ 08034
Phone (856) 216-0300

3535 Quakerbridge Rd
Ste 200
Hamilton, NJ 08619
Phone (609) 890-1110

2 8th St
Hammonton, NJ 08037
Phone (609) 561-8500

27 S Cooks Bridge Rd
Ste 2-11
Jackson, NJ 08527
Phone (732) 836-3200

227 Madison Ave
Lumberton, NJ 08048
Phone (609) 261-7562

1820 Corlies Ave
Ste 10A
Neptune City, NJ 07753
Phone 8889852727 ext. 610

4307 Westfield Ave
Pennsauken, NJ 08110
Phone (856) 488-0222

310 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 589-4500

40 Bey Lea Rd
Ste C203
Toms River, NJ 08753
Phone (732) 240-3390

750 Mantua Pike
Woodbury Hts, NJ 08097
Phone (215) 694-5261

Interoperability endpoints

  • Direct secure messaging: addison.haskins.1@11679.direct.athenahealth.com

Organizations & group practices 4

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": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1114429107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7776",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176047776",
            "telephone_number": "252-902-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 S 10TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075244",
            "telephone_number": "800-533-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASKINS",
        "first_name": "ADDISON",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00787300",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP018411",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.