Individual provider Active NPI

Jennifer Nolte, CRNP

  • Gerontology Nurse Practitioner
  • Telford, PA
National Provider Identifier
1467968115
Registry record updated Dec 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP018350 Issued in PA
Practice address
211 Telford Pike
Telford, PA 18969-2251
Phone
(215) 723-7833
NPI assigned
Dec 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X SP018350 PA Primary

Addresses

Primary practice location

211 Telford Pike
Telford, PA 18969-2251

Mailing address

519 S 5TH St Ste 130
Perkasie, PA 18944-1061
Phone (215) 257-8601

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
I20180111001507 PA Practitioner - Nurse Practitioner 7113286477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trivalley Primary Care PCGroup PAC ID 4981680923, 57 clinicians

Practice addresses (Care Compare)

211 Telford Pike
Telford, PA 18969-2251
Phone (215) 723-7833

Hospital & facility affiliations

  • Peter Becker Community Nursing home, Harleysville, PA, CCN 395648

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP018350PAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trivalley Primary Care, PC CurrentSince Jan 1, 2018 Accepting new patients
Delta Medical Group Past Accepting new patients

Locations

519 S 5th St
Ste 130
Perkasie, PA 18944
Phone (215) 257-8601

777 Route 113
Ofc
Souderton, PA 18964
Phone (215) 723-3280

211 Telford Pike
Telford, PA 18969
Phone (215) 723-7833

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGDCBA
  • Direct secure messaging: jennifer.nolte@tvpc.eclinicaldirectplus.com

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 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": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513555200000",
    "number": "1467968115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 S 5TH ST STE 130",
            "city": "PERKASIE",
            "state": "PA",
            "postal_code": "189441061",
            "telephone_number": "215-257-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 TELFORD PIKE",
            "city": "TELFORD",
            "state": "PA",
            "postal_code": "189692251",
            "telephone_number": "215-723-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLTE",
        "first_name": "JENNIFER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-18",
        "last_updated": "2017-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP018350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Telford, PA

Sources for this page

Verify at the official NPI Registry.