Individual provider Active NPI

Lisa Gill, CRNP

  • Adult Health Nurse Practitioner
  • Wyndmoor, PA
National Provider Identifier
1205876497
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP008340 Issued in PA
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

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060609000080 PA Practitioner - Nurse Practitioner 3072525054 Reassigns benefits to 3 organizations

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
Advanced Health and Psychiatry PLLCGroup PAC ID 0547643876, 3 clinicians
Keystone HospiceGroup PAC ID 3274578240, 5 clinicians

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

LicenseStateTypeSpecialty
RN254164LPAMDRegistered Nurse
SP008340PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Hospice CurrentSince Feb 17, 2025 Accepting new patients
Keystone Hospice CurrentSince Feb 17, 2025 Accepting new patients
Care Alternatives of Pennsylvania, LLC CurrentSince Jan 13, 2026 Accepting new patients
Advanced Health & Psychiatry, PLLC CurrentSince Nov 1, 2025 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.

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

Verify at the official NPI Registry.