Individual provider Active NPI

Andrea Lynn Vettori, FNP-BC, CRNP

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1154461671
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP010092 Issued in PA
Practice address
125 S 9TH St
Philadelphia, PA 19107-5125
Phone
(215) 592-4500
Fax
(215) 592-4328
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP010092 PA Primary

Addresses

Primary practice location

125 S 9TH St
Philadelphia, PA 19107-5125

Mailing address

1500 Market Street
LM 500 West Tower
Philadelphia, PA 19120-2100
Phone (215) 985-2595

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
I20110202000187 PA Practitioner - Nurse Practitioner 9234232547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1500 Market St
Philadelphia, PA 19102-2100
Phone (267) 615-1720

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Management Corp CurrentSince Jul 30, 2014 Accepting new patients
Public Health Management Corporation Current Accepting new patients
Public Health Management Corporation CurrentSince Jul 30, 2014 Accepting new patients
Medical Care of Boston Management Corporation Past Accepting new patients
Public Health Mangement Corporation Past Accepting new patients
Atreva Health Care, Inc. Past Accepting new patients

Locations

1900 N 9th St
Ste 104
Philadelphia, PA 19122
Phone (215) 735-6690

1500 Market St
Ste LM500
Philadelphia, PA 19102
Phone (215) 731-6150

5675 N Front St
Philadelphia, PA 19120
Phone (215) 224-0440

501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046

125 S 9th St
Philadelphia, PA 19107
Phone (215) 592-4500

216 W Somerset St
Philadelphia, PA 19133
Phone (215) 763-8870

1200 Callowhill St
Ste 101
Philadelphia, PA 19123
Phone (215) 825-8212

Interoperability endpoints

  • Direct secure messaging: andreavettori@nncc.allscriptsdirect.net

Organizations & group practices 6

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1154461671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MARKET STREET",
            "address_2": "LM 500 WEST TOWER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202100",
            "telephone_number": "215-985-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S 9TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075125",
            "telephone_number": "215-592-4500",
            "fax_number": "215-592-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VETTORI",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "FNP-BC, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP010092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.