Individual provider Active NPI

Angela Conlan, NURSE PRATITIONER

  • Adult Health Nurse Practitioner
  • Kennett Square, PA
National Provider Identifier
1366006934
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP020705 Issued in PA
Practice address
404 McFarlan Rd Ste 101
Kennett Square, PA 19348-2479
Phone
(610) 925-3835
Fax
(610) 925-3834
NPI assigned
Apr 29, 2019
Last updated
Sep 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP020705 PA Primary
Gerontology Nurse Practitioner 363LG0600X SP020705 PA

Addresses

Primary practice location

404 McFarlan Rd Ste 101
Kennett Square, PA 19348-2479

Mailing address

404 McFarlan Rd Ste 101
Kennett Square, PA 19348-2479
Phone (610) 925-3835

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
I20200110000476 PA Practitioner - Nurse Practitioner 0840625364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

404 McFarlan Rd
Suite 101
Kennett Square, PA 19348-2479
Phone (610) 925-3835

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Mar 21, 2022 Accepting new patients
HCR Manor Care Medical Services of Florida LLC CurrentSince Jan 6, 2020 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Mar 21, 2022 Accepting new patients

Locations

333 N Summit St
Fl 7
Toledo, OH 43604
Phone (419) 252-5909

3430 Huntingdon Pike
Huntingdon Vy, PA 19006
Phone (215) 938-7171

404 McFarlan Rd
Ste 101
Kennett Square, PA 19348
Phone (610) 925-3835

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 3

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 5

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": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1366006934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 MCFARLAN RD STE 101",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193482479",
            "telephone_number": "610-925-3835",
            "fax_number": "610-925-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 MCFARLAN RD STE 101",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193482479",
            "telephone_number": "610-925-3835",
            "fax_number": "610-925-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLAN",
        "first_name": "ANGELA",
        "credential": "NURSE PRATITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-29",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP020705",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP020705",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennett Square, PA

Sources for this page

Verify at the official NPI Registry.