Active NPI
Lisa Gill, CRNP
- Adult Health Nurse Practitioner
- Wyndmoor, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- SP008340
- Practice address
- 8765 Stenton Avenue
Wyndmoor, PA 19038-8317 - Phone
- (215) 836-2440
- Fax
- (215) 836-2448
- NPI assigned
- Jun 7, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN254164L | PA | |
| Adult Health Nurse Practitioner | 363LA2200X | SP008340 | PA | Primary |
Addresses
Primary practice location
8765 Stenton Avenue
Wyndmoor, PA 19038-8317
Mailing address
8765 Stenton Avenue
Wyndmoor, PA 19038-8317
Phone (215) 836-2440
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
340 N Middletown Rd
Fair Acres Nursing Home
Glen Riddle Lima, PA 19037-3977
Phone (610) 891-5840
8765 Stenton Ave
Wyndmoor, PA 19038-8317
Phone (215) 836-2440
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN254164L | PA | MD | Registered Nurse |
| SP008340 | PA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keystone Hospice | Current | Accepting new patients | |
| Keystone Hospice | Current | Accepting new patients | |
| Care Alternatives of Pennsylvania, LLC | Current | Accepting new patients | |
| Advanced Health & Psychiatry, PLLC | Current | Accepting new patients | |
| Hearsay ENT Docs LLC | Past | Accepting new patients | |
| Scott a. Fleischer, M.D., P.C. | Past | Accepting new patients |
Locations
65 Jackson Dr
Ste 103
Cranford, NJ 07016
Phone (908) 931-9068
340 N Middletown Rd
#H
Media, PA 19063
Phone (610) 891-5715
340 N Middletown Rd
Media, PA 19063
Phone (610) 565-7810
1120 Welsh Rd
Ste 220
North Wales, PA 19454
Phone (215) 542-2100
8765 Stenton Ave
Wyndmoor, PA 19038
Phone (215) 836-2440
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 and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Media, PA
- NPI 1710616065
-
- Internal Medicine Physician
- Wyndmoor, PA
- NPI 1912285198
-
- Community Based Hospice Care Agency
- North Wales, PA
- NPI 1710949557
-
- Community Based Hospice Care Agency
- Wyndmoor, PA
- NPI 1992780670
-
- Otolaryngology Physician
- Media, PA
- NPI 1962649780
-
- Psychiatry Physician
- Fort Washington, PA
- NPI 1720181720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742860800000",
"number": "1205876497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8765 STENTON AVENUE",
"city": "WYNDMOOR",
"state": "PA",
"postal_code": "190388317",
"telephone_number": "215-836-2440",
"fax_number": "215-836-2448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8765 STENTON AVENUE",
"city": "WYNDMOOR",
"state": "PA",
"postal_code": "190388317",
"telephone_number": "215-836-2440",
"fax_number": "215-836-2448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "LISA",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN254164L",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP008340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyndmoor, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.