Individual provider Active NPI

Mary Welsh Bostick, CNM

  • Advanced Practice Midwife
  • East Norriton, PA
National Provider Identifier
1164287488
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
609 W Germantown Pike Ste 220
East Norriton, PA 19403-4261
Phone
(484) 662-7940
NPI assigned
Feb 15, 2024
Last updated
Feb 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X NU Primary

Addresses

Primary practice location

609 W Germantown Pike Ste 220
East Norriton, PA 19403-4261

Mailing address

115 Rockland Ave
Narberth, PA 19072-2422
Phone (610) 608-8302

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240701000053 PA Practitioner - Certified Nurse Midwife (CNM) 9830633908 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Fornance Physician Services, Inc Advanced Practice Midwife Current Accepting new patients
Fornance Physician Services, Inc. CurrentSince May 14, 2024 Accepting new patients
Einstein Practice Plan Inc CurrentSince Jan 1, 2026 Accepting new patients
Fornance Physician Services, Inc. CurrentSince May 14, 2024 Accepting new patients
Einstein Practice Plan Inc CurrentSince Jan 1, 2026 Accepting new patients
Fornance Physician Services, Inc. Past Accepting new patients

Locations

1330 Powell St
Ste 310
Norristown, PA 19401
Phone (610) 277-2635

1330 Powell St
Ste 507
Norristown, PA 19401
Phone (484) 622-7300

609 W Germantown Pike
Ste 220
Norristown, PA 19403
Phone (484) 622-7940

5401 Old York Rd
Ste 331
Philadelphia, PA 19141
Phone (215) 456-6948

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1164287488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 ROCKLAND AVE",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190722422",
            "telephone_number": "610-608-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W GERMANTOWN PIKE STE 220",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194034261",
            "telephone_number": "484-662-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTICK",
        "first_name": "MARY",
        "middle_name": "WELSH",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Norriton, PA

Sources for this page

Verify at the official NPI Registry.