Active NPI
Rebecca Coyle Mueller, CRNP, FNP-BC, RN
- Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1356654289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP012621
- Practice address
- 833 Chestnut St
Suite 701
Philadelphia, PA 19107-4414 - Phone
- (215) 955-6180
- Fax
- (215) 955-6410
- NPI assigned
- Jul 20, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APN1268 | NV | |
| Registered Nurse | 163W00000X | 26NR14592700 | NJ | |
| Registered Nurse | 163W00000X | 708142 | CA | |
| Family Nurse Practitioner | 363LF0000X | APN001268 | NV | |
| Registered Nurse | 163W00000X | RN65986 | NV | |
| Nurse Practitioner | 363L00000X | SP012621 | PA | Primary |
Addresses
Primary practice location
833 Chestnut St
Suite 701
Philadelphia, PA 19107-4414
Mailing address
833 Chestnut St
Suite 701
Philadelphia, PA 19107-4414
Phone (215) 955-6180
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356654289 | Medicaid | NV | |
| 102896526 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 708142 | CA | MD | Registered Nurse |
| 26NR14592700 | NJ | MD | Registered Nurse |
| RN65986 | NV | MD | Registered Nurse |
| APN1268 | NV | MD | Nurse Practitioner |
| SP012621 | PA | MD | Nurse Practitioner |
| APN001268 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linda L. Johnson MD, LTD | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Adult Medicine Physician
- Henderson, NV
- NPI 1376838110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414627200000",
"number": "1356654289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 CHESTNUT ST",
"address_2": "SUITE 701",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074414",
"telephone_number": "215-955-6180",
"fax_number": "215-955-6410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 CHESTNUT ST",
"address_2": "SUITE 701",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074414",
"telephone_number": "215-955-6180",
"fax_number": "215-955-6410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUELLER",
"first_name": "REBECCA",
"middle_name": "COYLE",
"name_prefix": "Mrs.",
"credential": "CRNP, FNP-BC, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-20",
"last_updated": "2014-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "APN1268",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR14592700",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "708142",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "APN001268",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NV",
"license": "RN65986",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP012621",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1356654289",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102896526",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.