Jennifer Puglia, ACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

SP010034 Issued in PA

Practice address

656 E Swedesford Rd
Suite #100
Wayne, PA 19087-1606

Phone

(484) 253-1697

NPI assigned

Jan 8, 2015

Last updated

Jan 8, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.puglia.p2@direct.alegiscare.nextgenshare.com

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.

• Main Line Healthcare

  • Family Medicine Physician
  • Newtown Square, PA
  • NPI 1922077643
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420675200000",
    "number": "1508254855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 W CHURCH RD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063135",
            "telephone_number": "610-724-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 E SWEDESFORD RD",
            "address_2": "SUITE #100",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871606",
            "telephone_number": "484-253-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGLIA",
        "first_name": "JENNIFER",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP010034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Orthopaedic and Sports Medicine Associates LTD
• Premier Orthopaedic and Sports Medicine Associates, LTD
• Kevin Pressley
• Propel DME, LLC (OrthoAssets)
• Psychiatric Associates of the Main Line, LLC
• Dallas Lee Pulliam Jr., DMD
• Pura Vida Health Institute LLC
• Victoria Puzo
• PWS Wayne LLC (Amwell Recovery of Wayne)
• Marissa Lauren Quach, MOT, OTR/L

• Acute Care Nurse Practitioner in Wayne, PA
• Providers in Wayne, PA by specialty
• Acute Care Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.