Individual provider Active NPI

Jenna Vaughan, CRNP

  • Family Nurse Practitioner
  • New Britain, PA
National Provider Identifier
1407564248
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP026559 Issued in PA
Practice address
65 E Butler Ave Ste 201
New Britain, PA 18901-5219
Phone
(215) 822-3113
Fax
(215) 822-0889
NPI assigned
Nov 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP026559 PA Primary

Addresses

Primary practice location

65 E Butler Ave Ste 201
New Britain, PA 18901-5219

Mailing address

65 E Butler Ave Ste 201
New Britain, PA 18901-5219
Phone (215) 822-3113

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
I20221210000270 PA Practitioner - Nurse Practitioner 4183093396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Chalfont Family PracticeGroup PAC ID 1850374265, 10 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

65 E Butler Ave
Suite 201
New Britain, PA 18901-5219
Phone 2158223113105

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chalfont Family Practice CurrentSince Dec 1, 2022 Accepting new patients

Locations

65 E Butler Ave
Ste 201
New Britain, PA 18901
Phone (215) 822-3113

65 E Butler Ave
New Britain, PA 18901
Phone (215) 538-5440

Interoperability endpoints

  • Direct secure messaging: jenna.vaughan@dhcp.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1407564248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 E BUTLER AVE STE 201",
            "city": "NEW BRITAIN",
            "state": "PA",
            "postal_code": "189015219",
            "telephone_number": "215-822-3113",
            "fax_number": "215-822-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 E BUTLER AVE STE 201",
            "city": "NEW BRITAIN",
            "state": "PA",
            "postal_code": "189015219",
            "telephone_number": "215-822-3113",
            "fax_number": "215-822-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "JENNA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP026559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, PA

Sources for this page

Verify at the official NPI Registry.