Individual provider Active NPI

Mary Glenn Shuart, MSN, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Doylestown, PA
National Provider Identifier
1407904030
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP010760 Issued in PA
Practice address
500 N West St
Doylestown, PA 18901-2366
Phone
(215) 345-5300
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN560645 PA
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 26NJ00137900 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP010760 PA Primary

Addresses

Primary practice location

500 N West St
Doylestown, PA 18901-2366

Mailing address

500 N West St
Doylestown, PA 18901-2366
Phone (215) 345-5300

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
I20130313000440 PA Practitioner - Nurse Practitioner 0446405732 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
David a. Nover, M.D., P.C.Group PAC ID 1850339623, 5 clinicians
Lenape Valley FoundationGroup PAC ID 7719960913, 66 clinicians

Practice addresses (Care Compare)

1432 Easton Rd
Warrington, PA 18976-2852
Phone (215) 491-7570

500 N W St
Doylestown, PA 18901-2366
Phone (215) 345-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN560645PAMDPsychiatric/Mental Health Registered Nurse
SP010760PAMDPsychiatric/Mental Health Nurse Practitioner
26NJ00137900NJMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lenape Valley Foundation CurrentSince Jan 1, 2013 Accepting new patients
David a. Nover, M.D., P.C. CurrentSince Oct 28, 2019 Accepting new patients
Lenape Valley Foundation Psychiatric/Mental Health CurrentSince Jan 1, 2013 Accepting new patients

Locations

500 N West St
Doylestown, PA 18901
Phone (267) 893-5118

1432 Easton Rd
Ste 2C
Warrington, PA 18976
Phone (215) 491-7570

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285113600000",
    "number": "1407904030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N WEST ST",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012366",
            "telephone_number": "215-345-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N WEST ST",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012366",
            "telephone_number": "215-345-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUART",
        "first_name": "MARY GLENN",
        "name_prefix": "Mrs.",
        "credential": "MSN, CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2010-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "PA",
            "license": "RN560645",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00137900",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP010760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.