Angela D Blain, CRNP
Individual provider Active NPI Nurse Practitioner · Gettysburg, PA
NPI 1366049751 · NPPES record last updated Oct 8, 2020
Key facts
- NPI
- 1366049751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN527618L (PA)
- Practice address
- 147 Gettys St
Gettysburg, PA 17325-2534 - Phone
- (717) 338-4525
- NPI assigned
- Oct 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Silver Willow Wellness PC
Penn State Health Medical Group LLC
Practice addresses (Care Compare)
2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Phone (610) 272-8221
503 N 21St St
Camp Hill, PA 17011-2204
Phone (717) 234-2561
Hospital & facility affiliations
- Penn State Health Hampden Medical Center
- Penn State Health Holy Spirit Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 46.78 of 100
- Quality
- 33.56
- Promoting interoperability
- 0
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.85 of 100
- Quality
- 65.84
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210310002133 | PA | Practitioner - Nurse Practitioner | 1355757691 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN527618L | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penn State Health Medical Group, LLC | Current |
Accepting new patients | |
| Silver Willow Wellness PC | Current |
Accepting new patients | |
| Penn State Health Medical Group, LLC | Current |
Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Vital Healthcare Solutions | Current |
Accepting new patients | |
| Vpa PC | Current |
Accepting new patients | |
| Harmonycares Complete Health Services, PLLC | Nurse Practitioner | Current |
Accepting new patients |
| Penn State Health Medical Group, LLC | Current | Accepting new patients |
Locations
1055 Westlakes Dr
Ste 3152
Berwyn, PA 19312
Phone (215) 246-6050
503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100
1000 Claremont Rd
Carlisle, PA 17013
Phone (717) 241-1960
1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141
2901 Jolly Rd
Plymouth Mtng, PA 19462
Phone (610) 272-3222
2395 Lancaster Pike
Fl 1
Reading, PA 19607
Phone (570) 561-2990
1600 Black Rock Rd
Royersford, PA 19468
Phone (610) 792-2224
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN527618L | PA | Yes |
Addresses
Primary practice location
147 Gettys St
Gettysburg, PA 17325-2534
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 851-1405
Other providers in Gettysburg, PA
- Jennifer Adair Beidel
- Suzette Berlin
- Biggins & Co. Counseling
- Courtney Billow
- Jennifer A. Bishop
- Carol A Blank
- Bonneauville Community Fire Company, Inc
- Jessica Bonnett
- Angela Louise Borger
- Toby Allen Bortner
All providers in Gettysburg, PA · Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.