Individual provider Active NPI

Carly Ann Mueller, CRNP

  • Primary Care Nurse Practitioner
  • Yardley, PA
National Provider Identifier
1508440363
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
SP023354 Issued in PA
Practice address
303 Floral Vale Blvd
Yardley, PA 19067-5525
Phone
(215) 335-6000
NPI assigned
May 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP023354 PA
Primary Care Nurse Practitioner 363LP2300X SP023354 PA Primary

Addresses

Primary practice location

303 Floral Vale Blvd
Yardley, PA 19067-5525

Mailing address

15 Byron Dr
Mount Laurel, NJ 08054-4701
Phone (267) 566-3603

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
I20210720003480 PA Practitioner - Nurse Practitioner 5294138830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas J Marzili MD LLCGroup PAC ID 6103061403, 5 clinicians

Practice addresses (Care Compare)

733 Route 70 E
BLDG 2 Suite 201
Marlton, NJ 08053-2335
Phone (609) 451-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP023354PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Vascular Associates, Inc. CurrentSince May 17, 2021 Accepting new patients
Advanced Vascular and Wound Associates Inc Past Accepting new patients

Locations

2701 Holme Ave
Ste 201
Philadelphia, PA 19152
Phone (215) 332-7605

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJECCD

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.

NPI Registry JSON

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1508440363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BYRON DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544701",
            "telephone_number": "267-566-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 FLORAL VALE BLVD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675525",
            "telephone_number": "215-335-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "CARLY",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP023354",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP023354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yardley, PA

Sources for this page

Verify at the official NPI Registry.