Individual provider Active NPI

Colleen Boyle Donovan, CRNP

  • Family Nurse Practitioner
  • Abington, PA
National Provider Identifier
1467833699
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP013794 Issued in PA
Practice address
1200 Old York Rd
Chief of Staff Office
Abington, PA 19001-3720
Phone
(215) 481-2919
Fax
(215) 481-4070
NPI assigned
Jun 12, 2015
Last updated
Jan 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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 SP013794 PA Primary

Addresses

Primary practice location

1200 Old York Rd
Chief of Staff Office
Abington, PA 19001-3720

Mailing address

427 Bannockburn Ave
Ambler, PA 19002-5806
Phone (215) 378-2880

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
I20160201000631 PA Practitioner - Nurse Practitioner 8527362235 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abington Memorial HospitalGroup PAC ID 3274437736, shared by 44 NPIs, 442 clinicians

Practice addresses (Care Compare)

1200 Old York Rd
Abington, PA 19001-3720
Phone (215) 481-4200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP013794PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abington Memorial Hospital CurrentSince Dec 6, 2021 Accepting new patients
Abington Memorial Hospital CurrentSince Apr 24, 2021 Accepting new patients

Locations

1200 Old York Rd
#5
Abington, PA 19001
Phone (215) 481-4100

1200 Old York Rd
Ste 2B
Abington, PA 19001
Phone (215) 481-2222

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

1200 York Rd
Ofc
Abington, PA 19001
Phone (215) 481-2494

100 Medical Campus Dr
Lansdale, PA 19446
Phone (215) 361-4440

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1467833699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 BANNOCKBURN AVE",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190025806",
            "telephone_number": "215-378-2880",
            "fax_number": "215-481-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 OLD YORK RD",
            "address_2": "CHIEF OF STAFF OFFICE",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013720",
            "telephone_number": "215-481-2919",
            "fax_number": "215-481-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE DONOVAN",
        "first_name": "COLLEEN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP013794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, PA

Sources for this page

Verify at the official NPI Registry.