Individual provider Active NPI

Elizabeth Ann Coyne, NP

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1538120456
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TP004187B Issued in PA
Practice address
8835 Germantown Ave
Chestnut Hill Hospital
Philadelphia, PA 19118
Phone
(215) 248-8523
Fax
(215) 248-8275
NPI assigned
Mar 30, 2006
Last updated
Mar 31, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X TP004187B PA Primary

Addresses

Primary practice location

8835 Germantown Ave
Chestnut Hill Hospital
Philadelphia, PA 19118

Mailing address

PO Box 41555
Chestnut Hill Emergency Associates LTD
Philadelphia, PA 19101
Phone (800) 777-2455

Other identifiers 1

IdentifierTypeStateIssuer
500028551OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170524000190 PA Practitioner - Nurse Practitioner 2860625795 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Urgent Care, LLC CurrentSince Jan 8, 2019 Accepting new patients
Chestnut Hill Emergency Associates LTD Past Accepting new patients

Locations

1139 Ben Franklin Hwy W
Ste 114
Douglassville, PA 19518
Phone (610) 385-4444

278 Eagleview Blvd
Exton, PA 19341
Phone (610) 561-6400

300 Old Forge Ln
Ste 302
Kennett Square, PA 19348
Phone (484) 778-8000

10050 Roosevelt Blvd
Ste 2
Philadelphia, PA 19116
Phone (215) 552-2800

33 W Ridge Pike
Ste 627
Royersford, PA 19468
Phone (610) 226-6200

520 Chestnut St
Bldg S3
West Reading, PA 19611
Phone (610) 561-6320

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, 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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1538120456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41555",
            "address_2": "CHESTNUT HILL EMERGENCY ASSOCIATES LTD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19101",
            "telephone_number": "800-777-2455",
            "fax_number": "610-617-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8835 GERMANTOWN AVE",
            "address_2": "CHESTNUT HILL HOSPITAL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19118",
            "telephone_number": "215-248-8523",
            "fax_number": "215-248-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COYNE",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "TP004187B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "500028551",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.