Individual provider Active NPI

Rachel Lynn Spoon, CRNP

  • Nurse Practitioner
  • Bryn Mawr, PA
National Provider Identifier
1326517962
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP019238 Issued in PA
Practice address
5017 Brittany LN
Bryn Mawr, PA 19010-2079
Phone
(610) 247-9830
NPI assigned
Nov 13, 2018
Last updated
Jan 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP019238 PA Primary

Addresses

Primary practice location

5017 Brittany LN
Bryn Mawr, PA 19010-2079

Mailing address

5017 Brittany LN
Bryn Mawr, PA 19010-2079
Phone (215) 584-6356

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
I20190206002924 PA Practitioner - Nurse Practitioner 2264770809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward Burnetta MD LLCGroup PAC ID 2668576265, 10 clinicians

Practice addresses (Care Compare)

2075 County Line Rd
Villanova, PA 19085-1732
Phone (610) 642-1413

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Burnetta MD LLC CurrentSince Dec 28, 2018 Accepting new patients

Locations

773 E Haverford Rd
Bryn Mawr, PA 19010
Phone (610) 525-8300

650 Edison Ave
Philadelphia, PA 19116
Phone (215) 673-5700

7800 Bustleton Ave
Philadelphia, PA 19152
Phone (215) 722-2300

845 Germantown Pike
Plymouth Mtng, PA 19462
Phone (610) 279-7300

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.

NPI Registry JSON

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1326517962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5017 BRITTANY LN",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102079",
            "telephone_number": "215-584-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5017 BRITTANY LN",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102079",
            "telephone_number": "610-247-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOON",
        "first_name": "RACHEL",
        "middle_name": "LYNN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP019238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.