Active NPI
Nackea Rose Bachman, PA
- Medical Physician Assistant
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA061627
- Practice address
- 1237 Spring Garden St
Philadelphia, PA 19123-3469 - Phone
- (215) 769-3561
- Fax
- (215) 232-1785
- NPI assigned
- Feb 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA061627 | PA | Primary |
Addresses
Primary practice location
1237 Spring Garden St
Philadelphia, PA 19123-3469
Mailing address
1237 Spring Garden St
Philadelphia, PA 19123-3469
Phone (215) 769-3561
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200909003039 | PA | Practitioner - Physician Assistant | 6901224849 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Clinical Care Associates of the University of Pennsylvania Health.
Practice addresses (Care Compare)
4623 Spruce St
Philadelphia, PA 19139-4542
Phone (215) 474-6100
777 Township Line Rd
Suite 200
Yardley, PA 19067-5564
Phone (215) 860-0775
Hospital & facility affiliations
- Penn Medicine Home Health
- Hospital of Univ of Pennsylvania
- Penn Presbyterian Medical Center
- Pennsylvania Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bebashi Transition to Hope | Current | Accepting new patients | |
| Clinical Care Associates of the University of Pennsylvania Health | Current | Accepting new patients | |
| Clinical Care Associates of the University of Pennsylvania Health | Current | Accepting new patients |
Locations
777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Radnor, PA
- NPI 1972682995
PA
-
- Case Management Agency
- Philadelphia, PA
- NPI 1487935805
-
- Hepatology Physician
- West Chester, PA
- NPI 1396416251
-
- Psychologist
- West Chester, PA
- NPI 1649940107
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1245207521
Hospital
-
- Home Health Agency
- Bala Cynwyd, PA
- NPI 1992746366
-
- General Acute Care Hospital
- Phila, PA
- NPI 1063489342
Hospital
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1366073728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1237 SPRING GARDEN ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191233469",
"telephone_number": "215-769-3561",
"fax_number": "215-232-1785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1237 SPRING GARDEN ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191233469",
"telephone_number": "215-769-3561",
"fax_number": "215-232-1785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACHMAN",
"first_name": "NACKEA",
"middle_name": "ROSE",
"name_prefix": "Miss",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-03",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA061627",
"primary": true
}
],
"identifiers": [],
"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 Apr 19, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.