Individual provider Active NPI

Stephanie Schlesman, CRNP

  • Primary Care Nurse Practitioner
  • Wayne, PA
National Provider Identifier
1124670484
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
SP020541 Issued in PA
Practice address
485 Devon Park Dr Ste 115
Wayne, PA 19087-1840
Phone
(484) 630-1939
Fax
(610) 298-9140
NPI assigned
Jul 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN623946 PA
Primary Care Nurse Practitioner 363LP2300X SP020541 PA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP031735 PA

Addresses

Primary practice location

485 Devon Park Dr Ste 115
Wayne, PA 19087-1840

Mailing address

485 Devon Park Dr Ste 115
Wayne, PA 19087-1840
Phone (484) 630-1939

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
I20191002002215 PA Practitioner - Nurse Practitioner 8022348143 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward Burnetta MD LLCGroup PAC ID 2668576265, 10 clinicians

Practice addresses (Care Compare)

2075 County Line Rd
Villanova, PA 19085-1732
Phone (610) 642-1413

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN623946PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Burnetta MD LLC CurrentSince Jan 1, 2025 Accepting new patients
Vital Healthcare Solutions CurrentSince Apr 1, 2021 Accepting new patients
Meditelecare of Pennsylvania LLC CurrentSince Jun 1, 2023 Accepting new patients
Bryn Mawr Medical Specialists Association CurrentSince Apr 1, 2021 Accepting new patients
Evolve Psychiatry & Wellness CurrentSince Mar 11, 2025 Accepting new patients

Locations

825 Old Lancaster Rd
Ste 320
Bryn Mawr, PA 19010
Phone (610) 524-3800

773 E Haverford Rd
Bryn Mawr, PA 19010
Phone (610) 525-8300

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

7800 Bustleton Ave
Philadelphia, PA 19152
Phone (215) 722-2300

2395 Lancaster Pike
Fl 1
Reading, PA 19607
Phone (570) 561-2990

485 Devon Park Dr
Ste 115
Wayne, PA 19087
Phone (484) 630-1939

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1124670484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 DEVON PARK DR STE 115",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871840",
            "telephone_number": "484-630-1939",
            "fax_number": "610-298-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 DEVON PARK DR STE 115",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871840",
            "telephone_number": "484-630-1939",
            "fax_number": "610-298-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLESMAN",
        "first_name": "STEPHANIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN623946",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP020541",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP031735",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

Verify at the official NPI Registry.