Individual provider Active NPI

William C Barefoot, CRNP

  • Acute Care Nurse Practitioner
  • Abington, PA
National Provider Identifier
1548286149
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
TP 005241 U Issued in PA
Practice address
1235 Old York Rd
Ste 121
Abington, PA 19001-3800
Phone
(215) 517-1200
Fax
(215) 517-1219
NPI assigned
Jul 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X TP 005241 U PA Primary
Critical Care Medicine Nurse Practitioner 363LC0200X TP 005241 U PA

Addresses

Primary practice location

1235 Old York Rd
Ste 121
Abington, PA 19001-3800

Mailing address

1235 Old York Rd
Ste 121
Abington, PA 19001-3800
Phone (215) 517-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20120119000879 MS Practitioner - Nurse Practitioner 6002869476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Pulmonary Associates, PAGroup PAC ID 7517934292, 33 clinicians

Practice addresses (Care Compare)

971 Lakeland Dr
Suite 1052
Jackson, MS 39216-4609
Phone (601) 981-9503

Hospital & facility affiliations

  • Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP 005241 UPAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Pulmonary Associates, PA CurrentSince Dec 6, 2011 Accepting new patients

Locations

501 Marshall St
Ste 200
Jackson, MS 39202
Phone (601) 354-8895

971 Lakeland Dr
Ste 1052
Jackson, MS 39216
Phone (601) 981-9503

Interoperability endpoints

  • Direct secure messaging: wbarefoot149135@direct.bmhcc.org
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.323

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1548286149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 OLD YORK RD",
            "address_2": "STE 121",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013800",
            "telephone_number": "215-517-1200",
            "fax_number": "215-517-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 OLD YORK RD",
            "address_2": "STE 121",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013800",
            "telephone_number": "215-517-1200",
            "fax_number": "215-517-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAREFOOT",
        "first_name": "WILLIAM",
        "middle_name": "C",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "TP 005241 U",
            "primary": true
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "PA",
            "license": "TP 005241 U",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, PA

Sources for this page

Verify at the official NPI Registry.