Individual provider Active NPI

Nancy J Rist, MD

  • Internal Medicine Physician
  • Aston, PA
National Provider Identifier
1194885400
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD072442L Issued in PA
Practice address
5027 Pennell Rd
Aston, PA 19014-1869
Phone
(484) 227-9440
Fax
(484) 227-9465
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD072442L PA Primary

Addresses

Primary practice location

5027 Pennell Rd
Aston, PA 19014-1869

Mailing address

5027 Pennell Rd
Aston, PA 19014-1869
Phone (484) 227-9440

Other practice location 1

5027 Pennell Rd Ste 303
Aston, PA 19014-1869
Phone (484) 227-9440

Other identifiers 1

IdentifierTypeStateIssuer
001895989MedicaidPA

Other names 1

  • Nancy J Horvitiz Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100720000146 PA Practitioner - Internal Medicine 4880726389 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Temple University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

201 2ND Ave
Collegeville, PA 19426-3613
Phone (610) 489-7703

2901 Dutton Mill Rd
Suite 110
Aston, PA 19014-2850
Phone (610) 565-4107

Hospital & facility affiliations

  • Main Line Health Home Care & Hospice - Home Health Home health agency, Radnor, PA, CCN 397012
  • Bayada Home Health Care, Inc. Home health agency, Newtown Square, PA, CCN 398267
  • Riddle Memorial Hospital Hospital, Media, PA, CCN 390222
  • Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195
  • Bryn Mawr Hospital Hospital, Bryn Mawr, PA, CCN 390139
  • Paoli Hospital Hospital, Paoli, PA, CCN 390153
  • Chester County Hospital Hospital, West Chester, PA, CCN 390179
  • Bryn Mawr Rehabilitation Hospital Inpatient rehabilitation facility, Malvern, PA, CCN 393025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD072442LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. Current Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jun 1, 2018 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jun 1, 2018 Accepting new patients
Main Line Healthcare Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients

Locations

5027 Pennell Rd
Aston, PA 19014
Phone (484) 227-9440

5027 Pennell Rd
Ste 303
Aston, PA 19014
Phone (484) 227-9440

2901 Dutton Mill Rd
Ste 110
Aston, PA 19014
Phone (610) 485-6700

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

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

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

1 Medical Center Blvd
Ste 532
Chester, PA 19013
Phone (610) 447-6788

300 Evergreen Dr
Ste 150
Glen Mills, PA 19342
Phone (610) 328-8830

176 S New Middletown Rd
Media, PA 19063
Phone (610) 627-3690

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

Interoperability endpoints

  • Direct secure messaging: nancy.rist@chpm.cernerdirect.com

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 7

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1194885400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5027 PENNELL RD",
            "city": "ASTON",
            "state": "PA",
            "postal_code": "190141869",
            "telephone_number": "484-227-9440",
            "fax_number": "484-227-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5027 PENNELL RD",
            "city": "ASTON",
            "state": "PA",
            "postal_code": "190141869",
            "telephone_number": "484-227-9440",
            "fax_number": "484-227-9465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5027 Pennell Rd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Aston",
            "state": "PA",
            "postal_code": "190141869",
            "country_code": "US",
            "telephone_number": "484-227-9440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIST",
        "first_name": "NANCY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD072442L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001895989",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "HORVITIZ",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aston, PA

Sources for this page

Verify at the official NPI Registry.