Individual provider Active NPI

Arevik Bagdasarova, CRNP

  • Primary Care Nurse Practitioner
  • Norristown, PA
National Provider Identifier
1427666759
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
SP021539 Issued in PA
Practice address
1033 W Germantown Pike
Norristown, PA 19403-3905
Phone
(610) 539-8500
NPI assigned
Jul 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X SP021539 PA Primary

Addresses

Primary practice location

1033 W Germantown Pike
Norristown, PA 19403-3905

Mailing address

312 W Providence Rd
Aldan, PA 19018-3830
Phone (267) 528-5802

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
I20240426001517 PA Practitioner - Nurse Practitioner 4688835358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1033 W Germantown Pike Valley Forge M
Norristown, PA 19403-3905
Phone (732) 886-6202

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avenues Recovery Medical Center at Valley Forge CurrentSince Mar 10, 2024 Accepting new patients
Avenues Recovery Medical Center at Valley Forge CurrentSince Mar 10, 2024 Accepting new patients
A to Z Quality Medical Supply Inc PastSince Mar 13, 2012 Accepting new patients

Locations

850 Towbin Ave
Lakewood, NJ 08701
Phone (732) 886-6202

1033 W Germantown Pike
Norristown, PA 19403
Phone (610) 539-8500

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.

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": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1427666759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 W PROVIDENCE RD",
            "city": "ALDAN",
            "state": "PA",
            "postal_code": "190183830",
            "telephone_number": "267-528-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 W GERMANTOWN PIKE",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194033905",
            "telephone_number": "610-539-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGDASAROVA",
        "first_name": "AREVIK",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP021539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norristown, PA

Sources for this page

Verify at the official NPI Registry.