Active NPI
Michele L McRae, CRNP
- Adult Health Nurse Practitioner
- Radnor, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- SP030445
- Practice address
- 240 N Radnor Chester Rd Ste 100
Radnor, PA 19087-2121 - Phone
- (484) 580-1650
- NPI assigned
- Sep 4, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Registered Nurse | 163WG0600X | SP030445 | PA | |
| Nurse Practitioner | 363L00000X | SP030445 | PA | |
| Adult Health Nurse Practitioner | 363LA2200X | SP030445 | PA | Primary |
Addresses
Primary practice location
240 N Radnor Chester Rd Ste 100
Radnor, PA 19087-2121
Mailing address
3803 W Chester Pike Ste 160
Newtown Square, PA 19073-2336
Phone (484) 337-1632
Other practice location 1
3855 W Chester Pike Ste 300
Newtown Square, PA 19073-2304
Phone (484) 337-2585
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, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3855 W Chester Pike
Suite 300
Newtown Square, PA 19073-2304
Phone (484) 427-8000
Hospital & facility affiliations
- Main Line Health Home Care & Hospice - Home Health
- Main Line Hospital Lankenau
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP030445 | PA | MD | Gerontology Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Healthcare | Nurse Practitioner | Current | Accepting new patients |
Locations
830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200
3855 West Chester Pike
Ste 300
Newtown Square, PA 19073
Phone (484) 337-2585
3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530
240 N Radnor Chester Rd
Ste 100
Wayne, PA 19087
Phone (484) 580-1400
Organizations & group practices 1
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 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wynnewood, PA
- NPI 1245335629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1386479897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3803 W CHESTER PIKE STE 160",
"city": "NEWTOWN SQUARE",
"state": "PA",
"postal_code": "190732336",
"telephone_number": "484-337-1632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 N RADNOR CHESTER RD STE 100",
"city": "RADNOR",
"state": "PA",
"postal_code": "190872121",
"telephone_number": "484-580-1650"
}
],
"practiceLocations": [
{
"address_1": "3855 W Chester Pike Ste 300",
"address_purpose": "LOCATION",
"city": "Newtown Square",
"state": "PA",
"postal_code": "190732304",
"country_code": "US",
"telephone_number": "484-337-2585",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCRAE",
"first_name": "MICHELE",
"middle_name": "L",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-04",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gerontology",
"state": "PA",
"license": "SP030445",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP030445",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP030445",
"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 Dec 9, 2024; 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.