Individual provider Active NPI

Anestasia Wharton, APN, FNP-C

  • Family Nurse Practitioner
  • Flourtown, PA
National Provider Identifier
1114781598
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP030913 Issued in PA
Practice address
1820 Bethlehem Pike
Flourtown, PA 19031-1504
Phone
(215) 836-1354
NPI assigned
Feb 7, 2024
Last updated
Oct 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X RN673157 PA
Family Nurse Practitioner 363LF0000X SP030913 PA Primary

Addresses

Primary practice location

1820 Bethlehem Pike
Flourtown, PA 19031-1504

Mailing address

1820 Bethlehem Pike
Flourtown, PA 19031-1504

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260323003641 PA Practitioner - Nurse Practitioner 4385128883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1820 Bethlehem Pike
Flourtown, PA 19031-1504
Phone (215) 836-1354

2021 Chestnut St
Philadelphia, PA 19103-3373
Phone (267) 443-2020

2451 Grant Ave
Philadelphia, PA 19114-1031
Phone (215) 934-3471

2607 Rhawn St
Philadelphia, PA 19152-3038
Phone (215) 333-0304

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN673157PAMDEmergency Registered Nurse
SP030913PAMDFamily Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1114781598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 BETHLEHEM PIKE",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190311504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 BETHLEHEM PIKE",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190311504",
            "telephone_number": "215-836-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHARTON",
        "first_name": "ANESTASIA",
        "credential": "APN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "PA",
            "license": "RN673157",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP030913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flourtown, PA

Sources for this page

Verify at the official NPI Registry.