Individual provider Active NPI

Jeanette Polite-Thomas, FNP-BC

  • Family Nurse Practitioner
  • Eagleville, PA
National Provider Identifier
1245009919
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2023192157 Issued in PA
Practice address
61 E Mount Kirk Ave
Eagleville, PA 19403-1138
Phone
(610) 539-3474
NPI assigned
Dec 22, 2023
Last updated
Dec 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2023192157 PA Primary

Addresses

Primary practice location

61 E Mount Kirk Ave
Eagleville, PA 19403-1138

Mailing address

614 E Roberts St
Norristown, PA 19401-3565

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
I20250205003635 PA Practitioner - Nurse Practitioner 6305376393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abington Rehabilitation Associates LLCGroup PAC ID 2466523881, 17 clinicians

Practice addresses (Care Compare)

2510 Maryland Rd
Suite 150
Willow Grove, PA 19090-1143
Phone (215) 674-3337

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023192157PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abington Rehabilitation Associates, LLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

1425 Horsham Rd
North Wales, PA 19454
Phone (215) 284-5398

2510 Maryland Rd
Ste 150
Willow Grove, PA 19090
Phone (215) 674-3337

611 Easton Rd
Unit 475
Willow Grove, PA 19090

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": "1703203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1245009919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 E ROBERTS ST",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194013565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 E MOUNT KIRK AVE",
            "city": "EAGLEVILLE",
            "state": "PA",
            "postal_code": "194031138",
            "telephone_number": "610-539-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLITE-THOMAS",
        "first_name": "JEANETTE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "2023192157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagleville, PA

Sources for this page

Verify at the official NPI Registry.