Aileen Patricia Gavin, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP014621 Issued in PA

Practice address

145 King of Prussia Road
Suite 301 North
Radnor, PA 19087-4557

Phone

(610) 902-2450

Fax

(610) 902-2466

NPI assigned

Dec 22, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Aileen Rueter Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Clinical Care Associates of the University of Pennsylvania Health

  • Internal Medicine Physician
  • Radnor, PA
  • NPI 1972682995

  PA

  Medicare reassignment Care Compare group NPD
• Cajulis Pediatrics

  • Pediatrics Physician
  • Philadelphia, PA
  • NPI 1932645447
  NPD
• Clinical Care Associates of the University of

  • Anesthesiology Physician
  • West Chester, PA
  • NPI 1518541887
  NPD
• Clinical Care Associates of the University of Pennsylvania Health

  • Psychologist
  • West Chester, PA
  • NPI 1649940107
  NPD
• Lawrence S Deutsch MD & Assoc PC

  • Pediatrics Physician
  • Phila, PA
  • NPI 1912950734
  NPD (past)

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinical Care Associates of the University of Pennsylvania Health. 591 clinicians

Practice addresses (Care Compare)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1245628486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 KING OF PRUSSIA ROAD",
            "address_2": "SUITE 301 NORTH",
            "city": "RADNOR",
            "state": "PA",
            "postal_code": "190874557",
            "telephone_number": "610-902-2450",
            "fax_number": "610-902-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 KING OF PRUSSIA ROAD",
            "address_2": "SUITE 301 NORTH",
            "city": "RADNOR",
            "state": "PA",
            "postal_code": "190874557",
            "telephone_number": "610-902-2450",
            "fax_number": "610-902-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVIN",
        "first_name": "AILEEN",
        "middle_name": "PATRICIA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-22",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP014621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AILEEN",
            "last_name": "RUETER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Gregory Fernandez, M.D.
• Jessica Fincken, MSN, CRNP
• Richard Fiore, RPH
• Carol R Fleischman, MD
• Brian Douglas Fletcher, PAC
• Christine A Gearhart, CRNP
• Danielle Gill, LSW
• Tyra Amirah Goldstein
• Good Steward Home Care LLC
• Jeffrey M Gramp, MD

• All providers in Radnor, PA
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.

Verify at the official NPI Registry.