Individual provider Active NPI

Wendy Atror

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1285440677
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP030852 Issued in PA
Practice address
16 Old Ashton Rd
Philadelphia, PA 19152-1661
Phone
(215) 613-5069
Fax
(215) 613-6809
NPI assigned
Dec 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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 SP030852 PA Primary

Addresses

Primary practice location

16 Old Ashton Rd
Philadelphia, PA 19152-1661

Mailing address

908 Afton St
Philadelphia, PA 19111-3208
Phone (267) 428-9371

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
I20241230000003 PA Practitioner - Nurse Practitioner 4981131117 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Via Affiliates CurrentSince Feb 1, 2026 Accepting new patients
Infinite Medical PC CurrentSince Oct 20, 2024 Accepting new patients
Via Affiliates CurrentSince Feb 1, 2026 Accepting new patients

Locations

250 Skillman St
Ste 202
Brooklyn, NY 11205

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

4259 W Swamp Rd
Ste 108
Doylestown, PA 18902
Phone (215) 862-8363

498 Washington St
Easton, PA 18042
Phone (610) 253-4821

Organizations & group practices 4

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": "1733788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1285440677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 AFTON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113208",
            "telephone_number": "267-428-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 OLD ASHTON RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191521661",
            "telephone_number": "215-613-5069",
            "fax_number": "215-613-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATROR",
        "first_name": "WENDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP030852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.