Individual provider Active NPI

Regina E Stanton, CRNP

  • Family Nurse Practitioner
  • Wyncote, PA
National Provider Identifier
1548337819
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP009198 Issued in PA
Practice address
2401 W Cheltenham Ave
Wyncote, PA 19095-2946
Phone
(215) 444-7471
NPI assigned
Nov 29, 2006
Last updated
Apr 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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 SP009198 PA Primary

Addresses

Primary practice location

2401 W Cheltenham Ave
Wyncote, PA 19095-2946

Mailing address

PO Box 746722
Atlanta, GA 30374-6722
Phone (312) 733-9730

Other practice location 1

5675 N Front St
Philadelphia, PA 19120-2719
Phone (215) 279-9666

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
I20100423000682 PA Practitioner - Nurse Practitioner 0840332490 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh - PA Physicians Group, PCGroup PAC ID 7517213879, 113 clinicians

Practice addresses (Care Compare)

2401 W Cheltenham Ave
Wyncote, PA 19095-2946
Phone (312) 600-8484

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP009198PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Management Corporation CurrentSince May 16, 2016 Accepting new patients
Covenant House Inc CurrentSince Nov 1, 2006 Accepting new patients
Covenant House Inc CurrentSince Nov 1, 2006 Accepting new patients
Osh - PA Physicians Group, PC Family CurrentSince Dec 6, 2021 Accepting new patients
Public Health Management Corporation CurrentSince May 16, 2016 Accepting new patients

Locations

125 S 9th St
Philadelphia, PA 19107
Phone (215) 592-4500

1500 Market St
Ste LM500
Philadelphia, PA 19102
Phone (215) 731-6150

251 E Bringhurst St
Philadelphia, PA 19144
Phone (215) 248-7560

3621 Aramingo Ave
Philadelphia, PA 19134
Phone (312) 600-8484

5675 N Front St
Philadelphia, PA 19120
Phone (215) 224-0440

2401 W Cheltenham Ave
Wyncote, PA 19095
Phone (215) 444-7471

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: reginastanton@nncc.allscriptsdirect.net

Organizations & group practices 5

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.

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1548337819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746722",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746722",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W CHELTENHAM AVE",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "190952946",
            "telephone_number": "215-444-7471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5675 N Front St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191202719",
            "country_code": "US",
            "telephone_number": "215-279-9666",
            "fax_number": "215-279-9674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANTON",
        "first_name": "REGINA",
        "middle_name": "E",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP009198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyncote, PA

Sources for this page

Verify at the official NPI Registry.