Individual provider Active NPI

Saundra Swank

  • Acute Care Nurse Practitioner
  • Plymouth Meeting, PA
National Provider Identifier
1295264133
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP017521 Issued in PA
Practice address
2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Phone
(610) 272-8221
NPI assigned
Jun 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X SP017521 PA Primary

Addresses

Primary practice location

2901 Jolly Rd
Plymouth Meeting, PA 19462-2324

Mailing address

801 Ostrum St
Bethlehem, PA 18015-1000

Other names 1

  • Saundra Portelli Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171109000484 PA Practitioner - Nurse Practitioner 2860758752 Reassigns benefits to 7 organizations
I20220519001958 CT Practitioner - Nurse Practitioner 2860758752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suburban Geriatric'S, Inc.Group PAC ID 4486551371, 102 clinicians
Suburban Geriatrics II PCGroup PAC ID 9537552419, 107 clinicians

Practice addresses (Care Compare)

2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Phone (610) 272-8221

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
Quality
76.13
Improvement activities
40
Cost
69.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP017521PAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Geriatrics, Inc. CurrentSince Apr 11, 2023 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Clearfield-Jefferson Primary Care Associates PC CurrentSince Feb 2, 2024 Accepting new patients
Infinite Medical PC CurrentSince Aug 1, 2021 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jun 25, 2018 Accepting new patients
Suburban Geriatrics II PC CurrentSince Apr 11, 2023 Accepting new patients
Violet Valley Long Term Care PC CurrentSince Aug 18, 2025 Accepting new patients
Gslpg, Inc CurrentSince Jan 6, 2019 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jun 25, 2018 Accepting new patients

Locations

80 Fern Dr
Torrington, CT 06790
Phone (203) 294-7300

250 Skillman St
Ste 202
Brooklyn, NY 11205

33 Beaver Dr
Ste 1
Dubois, PA 15801
Phone (570) 561-2990

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

830 Ostrum St
Fountain Hill, PA 18015
Phone (484) 526-8142

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1205 S 28th St
Harrisburg, PA 17111
Phone (717) 558-1000

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

2901 Jolly Rd
Plymouth Mtng, PA 19462
Phone (610) 272-3222

Organizations & group practices 9

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": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1295264133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 JOLLY RD",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622324",
            "telephone_number": "610-272-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANK",
        "first_name": "SAUNDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP017521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAUNDRA",
            "last_name": "PORTELLI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Plymouth Meeting, PA

Sources for this page

Verify at the official NPI Registry.