Individual provider Active NPI

Patrel A Cunningham

  • Gerontology Registered Nurse
  • Philadelphia, PA
National Provider Identifier
1174256952
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Registered NurseTaxonomy code 163WG0600X
License
SP025231 Issued in PA
Practice address
5800 Walnut St
Philadelphia, PA 19139-3836
Phone
(215) 474-4444
NPI assigned
Jul 8, 2022
Last updated
Jul 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Registered Nurse 163WG0600X R250650 PA
Gerontology Registered Nurse 163WG0600X SP025231 PA Primary

Addresses

Primary practice location

5800 Walnut St
Philadelphia, PA 19139-3836

Mailing address

2900 N Harrison St
Wilmington, DE 19802-2935
Phone (215) 609-5798

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL htpps://sayrehealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220823002092 PA Practitioner - Nurse Practitioner 4486037579 Reassigns benefits to 3 organizations
I20230309000061 DE Practitioner - Nurse Practitioner 4486037579 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Practice Associates, PAGroup PAC ID 7012985641, 7 clinicians

Practice addresses (Care Compare)

1100 S Broom St
Wilmington, DE 19805-4585
Phone (302) 656-5416

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R250650PAMDGerontology Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Associates, PA CurrentSince Aug 4, 2025 Accepting new patients
Consonant Healing Medical Associates CurrentSince May 22, 2023 Accepting new patients
Consonant Healing Associates of de LLC CurrentSince Dec 6, 2024 Accepting new patients
Sayre Health Center CurrentSince Jul 25, 2022 Accepting new patients
Family Medicine at Greenhill Past Accepting new patients

Locations

231 S Washington St
Millsboro, DE 19966
Phone (302) 645-4664

1100 S Broom St
Wilmington, DE 19805
Phone (302) 510-4302

909 Ridgebrook Rd
Ste 220
Sparks Glencoe, MD 21152

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

100 Challenger Rd
#205
Ridgefield Pk, NJ 07660

905 Tower Rd
#3188
Bristol, PA 19007
Phone (215) 785-3201

905 Tower Rd
Ste 3188
Bristol, PA 19007
Phone (443) 483-9300

850 Paper Mill Rd
Glenside, PA 19038
Phone (215) 233-0920

318 S Orange St
Media, PA 19063
Phone (610) 566-1400

5800 Walnut St
Rear
Philadelphia, PA 19139
Phone (215) 474-4444

2630 Woodland Rd
Roslyn, PA 19001
Phone (215) 313-9358

121 Walnut Bottom Rd
Shippensburg, PA 17257
Phone 7175308300 ext. 7224

1695 Lenape Rd
West Chester, PA 19382
Phone (610) 344-6500

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73304
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/CHJCDD
  • Direct secure messaging: patrel.cunningham@118277986320388.direct.elationemr.com

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

Hospital & facility affiliations 6

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": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1174256952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 N HARRISON ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198022935",
            "telephone_number": "215-609-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 WALNUT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191393836",
            "telephone_number": "215-474-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "PATREL",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "PA",
            "license": "R250650",
            "primary": false
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "PA",
            "license": "SP025231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "htpps://sayrehealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5800 Walnut St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191393836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.