Individual provider Active NPI

Lisa Marie Scaccetti, CRNP

  • Nurse Practitioner
  • Levittown, PA
National Provider Identifier
1366745200
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP011152 Issued in PA
Practice address
1 Sugarmaple LN
Levittown, PA 19055-2007
Phone
(215) 945-8400
Fax
(215) 945-9368
NPI assigned
Dec 15, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Einstein Community Health Associates Inc 196 clinicians

Practice addresses (Care Compare)

101 E Olney Ave
Philadelphia, PA 19120-2470
Phone (215) 927-1937

Hospital & facility affiliations

  • Jefferson Health at Home by Bayada Home health agency, Horsham, PA, CCN 397145
  • St Mary Medical Center Hospital, Langhorne, PA, CCN 390258
  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174
  • Holy Redeemer Hospital and Medical Center Hospital, Meadowbrook, PA, CCN 390097
  • Jefferson Health- Northeast Hospital, Philadelphia, PA, CCN 390115

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20150928000039 PA Practitioner - Nurse Practitioner 0749598696 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP011152PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Community Health Associates, Inc CurrentSince Dec 15, 2024 Accepting new patients
Aria Health Physician Services Current Accepting new patients
Einstein Community Health Associates, Inc CurrentSince Dec 15, 2024 Accepting new patients
Aria Health Physician Services CurrentSince Jul 20, 2015 Accepting new patients
Aria Health Physician Services CurrentSince Jul 20, 2015 Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

1665 Bustleton Pike
Fstrvl Trvose, PA 19053
Phone (215) 355-8437

240 Middletown Blvd
Ste 101C
Langhorne, PA 19047
Phone (215) 550-9999

1 Sugarmaple Ln
Levittown, PA 19055
Phone (215) 945-8400

101 E Olney Ave
Ste C5
Philadelphia, PA 19120
Phone (215) 927-1937

5000 Frankford Ave
Ste 1B
Philadelphia, PA 19124
Phone (215) 583-2355

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X SP011152 PA
Nurse Practitioner 363L00000X SP011152 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

1 Sugarmaple LN
Levittown, PA 19055-2007

Mailing address

PO Box 8500-6335
Philadelphia, PA 19178-6335
Phone (215) 807-8000

Other names 1

NPPES NPI Registry
  • Lisa Marie Hart Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 21, 2019.

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1366745200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500-6335",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191786335",
            "telephone_number": "215-807-8000",
            "fax_number": "215-945-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SUGARMAPLE LN",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190552007",
            "telephone_number": "215-945-8400",
            "fax_number": "215-945-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCACCETTI",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-15",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "SP011152",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP011152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "HART",
            "middle_name": "MARIE",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Levittown, PA

Sources for this page

Verify at the official NPI Registry.