Individual provider Active NPI

Maria Lubrano-Lobianco, MSN CRNP RN AGNP-BC

  • Nurse Practitioner
  • Phoenixville, PA
National Provider Identifier
1336691435
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP016720 Issued in PA
Practice address
826 Main St
Suite 100
Phoenixville, PA 19460-4459
Phone
(610) 933-8484
NPI assigned
Oct 25, 2016
Last updated
Oct 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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 SP016720 PA Primary

Addresses

Primary practice location

826 Main St
Suite 100
Phoenixville, PA 19460-4459

Mailing address

542 N Lewis Rd
Suite 207
Limerick, PA 19468-3521
Phone (610) 933-8000

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
I20170222000353 PA Practitioner - Nurse Practitioner 5395029268 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
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

154 Exton Square Mall
Exton, PA 19341-2440
Phone (484) 876-2160

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
SP016720PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Healthcare Nurse Practitioner CurrentSince Nov 4, 2022 Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

154 Exton Square Mall
Exton, PA 19341
Phone (484) 565-8500

3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530

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": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1336691435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 N LEWIS RD",
            "address_2": "SUITE 207",
            "city": "LIMERICK",
            "state": "PA",
            "postal_code": "194683521",
            "telephone_number": "610-933-8000",
            "fax_number": "610-935-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 MAIN ST",
            "address_2": "SUITE 100",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604459",
            "telephone_number": "610-933-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBRANO-LOBIANCO",
        "first_name": "MARIA",
        "credential": "MSN CRNP RN AGNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP016720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

Verify at the official NPI Registry.