Active NPI
Kerry Ann Loughran Loughran, CRNP
- Primary Care Nurse Practitioner
- Media, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- SP016489
- Practice address
- 1048 W Baltimore Pike
Media, PA 19063-6300 - Phone
- (484) 621-1100
- NPI assigned
- Sep 29, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | SP016489 | PA | |
| Gerontology Nurse Practitioner | 363LG0600X | SP016489 | PA | |
| Primary Care Nurse Practitioner | 363LP2300X | SP016489 | PA | Primary |
Addresses
Primary practice location
1048 W Baltimore Pike
Media, PA 19063-6300
Mailing address
1048 W Baltimore Pike
Media, PA 19063-6300
Phone (484) 621-1100
Other names 1
- Kerry Ann Schaefer
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170110000237 | PA | Practitioner - Nurse Practitioner | 4385925106 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP016489 | PA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Prospect Health Access Network, Inc. | Past | Accepting new patients |
Locations
1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744
1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666
200 E State St
Ste 100
Media, PA 19063
Phone (610) 619-7475
1098 W Baltimore Pike
Ste 3101
Media, PA 19063
Phone (610) 891-9277
100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281
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 and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Chester, PA
- NPI 1154776797
-
- Anatomic Pathology & Clinical Pathology Physician
- Chester, PA
- NPI 1285081703
-
- Gynecologic Oncology Physician
- Chester, PA
- NPI 1134574775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638403200000",
"number": "1114476207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1048 W BALTIMORE PIKE",
"city": "MEDIA",
"state": "PA",
"postal_code": "190636300",
"telephone_number": "484-621-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1048 W BALTIMORE PIKE",
"city": "MEDIA",
"state": "PA",
"postal_code": "190636300",
"telephone_number": "484-621-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUGHRAN",
"first_name": "KERRY",
"middle_name": "ANN LOUGHRAN",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-29",
"last_updated": "2021-12-02",
"certification_date": "2021-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP016489",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "PA",
"license": "SP016489",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "PA",
"license": "SP016489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KERRY",
"last_name": "SCHAEFER",
"middle_name": "ANN",
"credential": "CRNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.