Active NPI
Ellen Bridget Linde, CRNP
- Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP010391
- Practice address
- 161 Cecil B Moore Ave Apt 204
Philadelphia, PA 19122-3243 - Phone
- (215) 585-2144
- Fax
- (267) 780-8032
- NPI assigned
- Jul 30, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP010391 | PA | Primary |
Addresses
Primary practice location
161 Cecil B Moore Ave Apt 204
Philadelphia, PA 19122-3243
Mailing address
142 Grand Ave
Forest City, PA 18421-1056
Phone (570) 267-0437
Other practice location 1
1721 N Main Ave
Scranton, PA 18508-1995
Phone (570) 346-8417
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103382027-0007 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MT, FL, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Helena, MT 59601
Phone (215) 585-2144
161 Cecil B Moore Ave
Apt 204
Philadelphia, PA 19122-3243
Phone (215) 585-2144
2221 Brickyard Rd
Suite E
Adel, IA 50003-8300
Phone (215) 585-2144
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ophelia Medical Group FL, P.a. | Current | Accepting new patients | |
| Ophelia Medical Group Ny, P.C. | Past | Accepting new patients |
Locations
801 West Bay Dr
Ste 408
Largo, FL 33770
2221 Brickyard Rd
Ste E
Adel, IA 50003
750 W Custer Ave
Ste 3
Helena, MT 59602
2 N Last Chance Gulch
Ste B
Helena, MT 59601
228 Park Ave S
New York, NY 10003
Phone (215) 588-2144
Interoperability endpoints
- ellen.linde.1@3691.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Addiction Medicine (Family Medicine) Physician
- Philadelphia, PA
- NPI 1588244750
FL, IA, MT
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- New York, NY
- NPI 1013528363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1174754774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 GRAND AVE",
"city": "FOREST CITY",
"state": "PA",
"postal_code": "184211056",
"telephone_number": "570-267-0437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 CECIL B MOORE AVE APT 204",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191223243",
"telephone_number": "215-585-2144",
"fax_number": "267-780-8032"
}
],
"practiceLocations": [
{
"address_1": "1721 N Main Ave",
"address_purpose": "LOCATION",
"city": "Scranton",
"state": "PA",
"postal_code": "185081995",
"country_code": "US",
"telephone_number": "570-346-8417",
"fax_number": "570-344-3778",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LINDE",
"first_name": "ELLEN",
"middle_name": "BRIDGET",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-30",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP010391",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103382027-0007",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.