Ashley Bellamy, CRNP
Individual provider Active NPI Family Nurse Practitioner · Broomall, PA
NPI 1194228445 · NPPES record last updated Jun 29, 2018
Key facts
- NPI
- 1194228445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- SP018617 (PA)
- Practice address
- 1991 Sproul Rd Ste 600
Broomall, PA 19008 - Phone
- (484) 421-1669
- Fax
- (610) 886-0164
- NPI assigned
- Mar 13, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Main Line Healthcare
Practice addresses (Care Compare)
154 Exton Square Mall
Exton, PA 19341-2440
Phone (484) 565-8500
1991 Sproul Rd
Suite 600
Broomall, PA 19008-3517
Phone (484) 421-1669
450 Cresson Blvd
Phoenixville, PA 19460-6145
830 Old Lancaster Rd
Bryn Mawr, PA 19010-3118
Hospital & facility affiliations
- Main Line Hospital Lankenau
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180410002031 | PA | Practitioner - Nurse Practitioner | 0840553509 | Reassigns benefits to 2 organizations |
| I20220408001317 | DE | Practitioner - Nurse Practitioner | 0840553509 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Current |
Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current |
Accepting new patients | |
| Main Line Healthcare | Current |
Accepting new patients |
Locations
1209 N Orange St
Wilmington, DE 19801
Phone (800) 875-1575
1991 Sproul Rd
Ste 600
Broomall, PA 19008
Phone (484) 421-1669
830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200
600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP018617 | PA | Yes |
Addresses
Primary practice location
1991 Sproul Rd Ste 600
Broomall, PA 19008
Mailing address
1991 Sproul Rd Ste 600
Broomall, PA 19008-3517
Phone (484) 421-1669
Other providers in Broomall, PA
- Tamara Crowe Bean
- Ashley Nicole Begley
- Kathryn Elizabeth Beldowski
- Mitchell S Belile
- Marc J Belitsky
- Gavin Bellwoar
- Heather Marie Bendig
- Kimberly Lyn Bennett
- Cameron Benziger
- Brianna Bernardo
All providers in Broomall, PA · Family Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.