Individual provider Active NPI

Thomas Joseph Pingue, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Paoli, PA
National Provider Identifier
1487404737
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP029498 Issued in PA
Practice address
136 W Lancaster Ave Ste 3
Paoli, PA 19301-1786
Phone
(484) 561-5053
Fax
(484) 561-5246
NPI assigned
Mar 26, 2024
Last updated
Aug 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP029498 PA Primary

Addresses

Primary practice location

136 W Lancaster Ave Ste 3
Paoli, PA 19301-1786

Mailing address

136 W Lancaster Ave Ste 3
Paoli, PA 19301-1786
Phone (484) 561-5125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240805003005 PA Practitioner - Nurse Practitioner 2163969494 Reassigns benefits to 1 organization
I20260430004139 DE Practitioner - Nurse Practitioner 2163969494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Asim Rana MD PCGroup PAC ID 4284851437, 6 clinicians
Med Psych Services LLCGroup PAC ID 4284999301, 6 clinicians

Practice addresses (Care Compare)

103 John Robert Thomas Dr
Exton, PA 19341-2652
Phone (484) 879-6173

5163 W Woodmill Dr
Suite 13
Wilmington, DE 19808-4067
Phone (302) 660-7200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP029498PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Asim Rana MD PC CurrentSince May 20, 2024 Accepting new patients
Elwyn of Pennsylvania and Delaware Past Accepting new patients
Thomas Pingue Pmhnp-BC LLC Psychiatric/Mental Health Past Accepting new patients

Locations

103 John Robert Thomas Dr
Exton, PA 19341
Phone (484) 202-8399

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1487404737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 W LANCASTER AVE STE 3",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011786",
            "telephone_number": "484-561-5125",
            "fax_number": "484-561-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 W LANCASTER AVE STE 3",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011786",
            "telephone_number": "484-561-5053",
            "fax_number": "484-561-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINGUE",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-26",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP029498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.