Individual provider Active NPI

Nancy M Dooley

  • Adult Health Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1215381702
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP016175 Issued in PA
Practice address
10 E Moreland Ave Ste 100
Philadelphia, PA 19118-3562
Phone
(267) 437-3163
Fax
(267) 437-3176
NPI assigned
Apr 20, 2016
Last updated
Jun 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP016175 PA
Adult Health Nurse Practitioner 363LA2200X SP016175 PA Primary
Gerontology Nurse Practitioner 363LG0600X SP016175 PA

Addresses

Primary practice location

10 E Moreland Ave Ste 100
Philadelphia, PA 19118-3562

Mailing address

10 E Moreland Ave Ste 100
Philadelphia, PA 19118-3562
Phone (267) 385-5538

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ndooley11794@direct.acumenmd.com

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
I20160908001893 PA Practitioner - Nurse Practitioner 2860788304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Care Specialists LLCGroup PAC ID 9931450079, 41 clinicians

Practice addresses (Care Compare)

10 E Moreland Ave
Suite 100
Philadelphia, PA 19118-3562
Phone (267) 437-3163

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care Specialists LLC CurrentSince Feb 14, 2019 Accepting new patients

Locations

1230 S Cedar Crest Blvd
Ste 301
Allentown, PA 18103
Phone (610) 432-4873

2000 Sproul Rd
Ste 300
Broomall, PA 19008
Phone (610) 356-3700

125 Medical Campus Dr
Ste 300
Lansdale, PA 19446
Phone (215) 362-7125

10 E Moreland Ave
Ste 100
Philadelphia, PA 19118
Phone (267) 385-5538

Interoperability endpoints

  • Direct secure messaging: ndooley11794@direct.acumenmd.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1215381702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E MORELAND AVE STE 100",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183562",
            "telephone_number": "267-385-5538",
            "fax_number": "267-437-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E MORELAND AVE STE 100",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183562",
            "telephone_number": "267-437-3163",
            "fax_number": "267-437-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLEY",
        "first_name": "NANCY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-20",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP016175",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP016175",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP016175",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ndooley11794@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "10 E Moreland Ave Ste 100",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191183562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.