Individual provider Active NPI

Nydia Kimberly Meehan, PA-C

  • Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1124668496
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA061376 Issued in PA
Practice address
7116 Ridge Ave
Philadelphia, PA 19128-3250
Phone
(484) 227-0977
NPI assigned
Jan 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA061376 PA Primary

Addresses

Primary practice location

7116 Ridge Ave
Philadelphia, PA 19128-3250

Mailing address

3803 W Chester Pike Ste 160
Newtown Square, PA 19073-2336
Phone (484) 337-1632

Other practice location 1

265 Schuylkill Rd
Phoenixville, PA 19460-1879
Phone (610) 935-4350

Other names 1

  • Nydia Kimberly Sanchez Former name

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
I20211014000191 PA Practitioner - Physician Assistant 4789082272 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monarch Medical, LLCGroup PAC ID 6204057458, 7 clinicians
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

265 Schuylkill Rd
Phoenixville, PA 19460-1879
Phone (610) 935-4740

7114 Ridge Ave
Philadelphia, PA 19128-3250
Phone (215) 298-5000

7116 Ridge Ave
Philadelphia, PA 19128-3250
Phone (484) 227-0977

830 Old Lancaster Rd
Bryn Mawr, PA 19010-3118

915 Montgomery Ave
FL 4
Penn Valley, PA 19072-1548
Phone (610) 668-7992

Hospital & facility affiliations

  • Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195
  • Bryn Mawr Hospital Hospital, Bryn Mawr, PA, CCN 390139

Merit-based Incentive Payment System (MIPS)

Final score
96.55 of 100Reported as apm
Quality
83.57
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of Florida PA CurrentSince Jan 1, 2024 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Jan 1, 2024 Accepting new patients
Monarch Integrative Medicine, LLC CurrentSince Oct 1, 2023 Accepting new patients
Res Ventures, LLC Past Accepting new patients

Locations

2019 Welsh Rd
Dresher, PA 19025
Phone (267) 434-1107

265 Schuylkill Rd
Phoenixville, PA 19460
Phone (610) 935-4350

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1124668496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 W CHESTER PIKE STE 160",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732336",
            "telephone_number": "484-337-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7116 RIDGE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191283250",
            "telephone_number": "484-227-0977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 Schuylkill Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenixville",
            "state": "PA",
            "postal_code": "194601879",
            "country_code": "US",
            "telephone_number": "610-935-4350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEEHAN",
        "first_name": "NYDIA",
        "middle_name": "KIMBERLY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NYDIA",
            "last_name": "SANCHEZ",
            "middle_name": "KIMBERLY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.