Individual provider Active NPI

Annette M Sexton, CRNP

  • Acute Care Nurse Practitioner
  • Paoli, PA
National Provider Identifier
1154826337
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP018090 Issued in PA
Practice address
21 Industrial Blvd
Ste 205
Paoli, PA 19301-1610
Phone
(610) 284-8500
NPI assigned
Mar 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X SP018090 PA Primary

Addresses

Primary practice location

21 Industrial Blvd
Ste 205
Paoli, PA 19301-1610

Mailing address

21 Industrial Blvd
Ste 205
Paoli, PA 19301-1610
Phone (610) 284-8500

Other practice location 1

501 N Lansdowne Ave
Drexel Hill, PA 19026-1114
Phone (610) 284-8500

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
I20181128003499 PA Practitioner - Nurse Practitioner 6406190610 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

21 Industrial Blvd
Suite 205
Paoli, PA 19301-1610
Phone (484) 427-8999

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Main Line Healthcare CurrentSince Oct 1, 2019 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Prospect Health Access Network, Inc. Past Accepting new patients

Locations

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

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

501 N Lansdowne Ave
Drexel Hill, PA 19026
Phone (610) 284-8100

153 Exton Square Mall
Exton, PA 19341
Phone (484) 324-7100

21 Industrial Blvd
Ste 205
Paoli, PA 19301
Phone (610) 296-5600

255 W Lancaster Ave
Ste 328
Paoli, PA 19301
Phone (484) 565-1600

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

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.

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": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1154826337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 INDUSTRIAL BLVD",
            "address_2": "STE 205",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011610",
            "telephone_number": "610-284-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 INDUSTRIAL BLVD",
            "address_2": "STE 205",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011610",
            "telephone_number": "610-284-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 N Lansdowne Ave",
            "address_purpose": "LOCATION",
            "city": "Drexel Hill",
            "state": "PA",
            "postal_code": "190261114",
            "country_code": "US",
            "telephone_number": "610-284-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEXTON",
        "first_name": "ANNETTE",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP018090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.