Individual provider Active NPI

Elizabeth K Nesland, CRNP

  • Family Nurse Practitioner
  • Allentown, PA
National Provider Identifier
1366628612
Registry record updated Sep 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP009032 Issued in PA
Practice address
2200 Hamilton St
Suite 103
Allentown, PA 18104-6337
Phone
(610) 821-8321
NPI assigned
Jan 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X SP009032 PA
Family Nurse Practitioner 363LF0000X SP009032 PA Primary

Addresses

Primary practice location

2200 Hamilton St
Suite 103
Allentown, PA 18104-6337

Mailing address

240 Park Vista Ter
Allentown, PA 18104-4527
Phone (610) 392-2350

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
I20080206000323 PA Practitioner - Nurse Practitioner 3375626948 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mhmo, Inc.Group PAC ID 2163400599, 35 clinicians

Practice addresses (Care Compare)

2250 Hickory Rd
Suite 100
Plymouth Meeting, PA 19462-1047
Phone (610) 825-9400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP009032PAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Nov 27, 2020 Accepting new patients
Mhmo, Inc. CurrentSince Sep 13, 2021 Accepting new patients

Locations

1015 Chestnut St
Ste 403
Philadelphia, PA 19107
Phone (215) 625-9770

2250 Hickory Rd
Ste 100
Plymouth Meeting, PA 19462

523 Plymouth Rd
Ste 215
Plymouth Mtng, PA 19462
Phone (610) 825-9400

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473033600000",
    "number": "1366628612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 PARK VISTA TER",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181044527",
            "telephone_number": "610-392-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 HAMILTON ST",
            "address_2": "SUITE 103",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046337",
            "telephone_number": "610-821-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESLAND",
        "first_name": "ELIZABETH",
        "middle_name": "K",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-17",
        "last_updated": "2016-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP009032",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP009032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.