Individual provider Active NPI

Angela M Pinheiro, FNP-BC

  • Family Nurse Practitioner
  • Blue Bell, PA
National Provider Identifier
1144660309
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP012898 Issued in PA
Practice address
721 Arbor Way Ste 105
Blue Bell, PA 19422
Phone
(215) 646-9220
Fax
(215) 646-0715
NPI assigned
Jul 2, 2013
Last updated
May 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP012898 PA Primary
Family Nurse Practitioner 363LF0000X LG-0000680 DE

Addresses

Primary practice location

721 Arbor Way Ste 105
Blue Bell, PA 19422

Mailing address

2500 Maryland Rd
Ste 400
Willow Grove, PA 19090-1225
Phone (215) 646-0715

Other practice location 1

605 N Bethlehem Pike
Lower Gwynedd, PA 19002-2501
Phone (215) 646-9220

Other practice location 2

701 N Clayton St
MSB 2nd floor
Wilmington, DE 19805-3165
Phone (302) 575-8040

Other identifiers 1

IdentifierTypeStateIssuer
1144660309MedicaidDE

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
I20180619003529 PA Practitioner - Nurse Practitioner 3971729039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

830 Old Lancaster Rd
Bryn Mawr, PA 19010-3118

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG-0000680DEMDFamily Nurse Practitioner
SP012898PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Healthcare CurrentSince Oct 30, 2023 Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530

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 3

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": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1144660309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MARYLAND RD",
            "address_2": "STE 400",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901225",
            "telephone_number": "215-646-0715",
            "fax_number": "215-646-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 ARBOR WAY STE 105",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "19422",
            "telephone_number": "215-646-9220",
            "fax_number": "215-646-0715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 N Bethlehem Pike",
            "address_purpose": "LOCATION",
            "city": "Lower Gwynedd",
            "state": "PA",
            "postal_code": "190022501",
            "country_code": "US",
            "telephone_number": "215-646-9220",
            "fax_number": "215-646-0715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 N Clayton St",
            "address_2": "MSB 2nd floor",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198053165",
            "country_code": "US",
            "telephone_number": "302-575-8040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINHEIRO",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012898",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000680",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144660309",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

Verify at the official NPI Registry.