Active NPI
Maryellen Theresa O'Hara, CRNP
- Adult Health Nurse Practitioner
- Radnor, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- VP006835C
- Practice address
- 250 King of Prussia Rd
Radnor, PA 19087-5220 - Phone
- (610) 902-5625
- NPI assigned
- Oct 3, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | VP006835C | PA | Primary |
Addresses
Primary practice location
250 King of Prussia Rd
Radnor, PA 19087-5220
Mailing address
250 King of Prussia Rd
Radnor, PA 19087-5220
Phone (610) 902-5625
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2004 Sproul Rd
FL 1
Broomall, PA 19008-3511
Phone (610) 353-0800
4 Industrial Blvd
Paoli, PA 19301-1605
491 John Young Way
Suite 210
Exton, PA 19341-2567
Phone (610) 524-7251
Hospital & facility affiliations
- Paoli Hospital
- Hospital of Univ of Pennsylvania
- Bryn Mawr Hospital
- Chester County Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.6 of 100
- Promoting interoperability
- 96
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VP006835C | PA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Orthopaedic and Sports Medicine Associates LTD | Current | Accepting new patients | |
| Premier Orthopaedic and Sports Medicine Associates, LTD | Current | Accepting new patients | |
| Orthopedic Sports & Arthritis Surgery | Past | Accepting new patients |
Locations
2004 Sproul Rd
Fl 1
Broomall, PA 19008
Phone (610) 353-0800
300 Springhouse Dr
Ste 200
Collegeville, PA 19426
Phone (610) 409-2754
491 John Young Way
Ste 210
Exton, PA 19341
Phone (610) 524-7251
266 Lancaster Ave
Ste 200
Malvern, PA 19355
Phone (610) 640-4133
4 Industrial Blvd
Ste 165
Paoli, PA 19301
Phone (610) 359-5640
Interoperability endpoints
- maryellen.o.hara.1@22724.direct.athenahealth.com
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.
-
- Orthopaedic Surgery Physician
- Newtown Square, PA
- NPI 1215987243
-
- Durable Medical Equipment & Medical Supplies
- Exton, PA
- NPI 1497485080
-
- Orthopaedic Surgery Physician
- Paoli, PA
- NPI 1316917594
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Chester, PA
- NPI 1356333579
-
- General Acute Care Hospital
- Paoli, PA
- NPI 1215042114
-
- General Acute Care Hospital
- Bryn Mawr, PA
- NPI 1508971441
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222992000000",
"number": "1366693707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 KING OF PRUSSIA RD",
"city": "RADNOR",
"state": "PA",
"postal_code": "190875220",
"telephone_number": "610-902-5625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 KING OF PRUSSIA RD",
"city": "RADNOR",
"state": "PA",
"postal_code": "190875220",
"telephone_number": "610-902-5625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'HARA",
"first_name": "MARYELLEN",
"middle_name": "THERESA",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-03",
"last_updated": "2008-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "VP006835C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Radnor, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; 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.