Individual provider Active NPI

Erin Bovelle, CRNP

  • Gerontology Nurse Practitioner
  • Plymouth Meeting, PA
National Provider Identifier
1508763392
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP036621 Issued in PA
Practice address
964 Plymouth Rd
Plymouth Meeting, PA 19462-2528
Phone
(610) 551-3257
NPI assigned
Oct 23, 2026
Last updated
Oct 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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 SP036621 PA Primary

Addresses

Primary practice location

964 Plymouth Rd
Plymouth Meeting, PA 19462-2528

Mailing address

964 Plymouth Rd
Plymouth Meeting, PA 19462-2528
Phone (610) 551-3257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1792713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792713600000",
    "number": "1508763392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 PLYMOUTH RD",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622528",
            "telephone_number": "610-551-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 PLYMOUTH RD",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622528",
            "telephone_number": "610-551-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVELLE",
        "first_name": "ERIN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-23",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP036621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.