Individual provider Active NPI

Alexandra Thurston, CRNP

  • Adult Health Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1548987977
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP026290 Issued in PA
Practice address
3401 N Broad St
Philadelphia, PA 19140-5103
Phone
(800) 836-7536
NPI assigned
Oct 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP026290 PA Primary

Addresses

Primary practice location

3401 N Broad St
Philadelphia, PA 19140-5103

Mailing address

2606 Red Oak Cir
Springfield, PA 19064-1063
Phone (610) 675-4254

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
I20230208000529 PA Practitioner - Nurse Practitioner 2668844259 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Gastroenterology Associates of Lancaster, LTD.Group PAC ID 4688575434, 248 clinicians

Practice addresses (Care Compare)

1088 W Baltimore Pike HCC II
2 Main Line Gastroenterology Associates PC
Media, PA 19063-5136
Phone (610) 565-1808

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.21 of 100Reported as group
Quality
49.71
Promoting interoperability
100
Improvement activities
40
Cost
74.23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Sep 14, 2024 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Jan 1, 2023 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Main Line Healthcare CurrentSince Aug 29, 2026 Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Sep 14, 2024 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Jan 1, 2023 Accepting new patients
Main Line Gastroenterology Associates, PC Past Accepting new patients
Temple Faculty Practice Plan Inc Past Accepting new patients

Locations

1991 Sproul Rd
Ste 230
Broomall, PA 19008
Phone (610) 449-1525

80 Lancaster Ave
Ste 310
Devon, PA 19333
Phone (484) 580-4031

515 Pennsylvania Ave
Ft Washington, PA 19034
Phone (215) 641-0700

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

325 Central Ave
Fl 2
Malvern, PA 19355

650 Carnegie Blvd
Ste 100
Malvern, PA 19355

1088 W Baltimore Pike
Ste 2407
Media, PA 19063
Phone (610) 521-2008

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

1331 E Wyoming Ave
Philadelphia, PA 19124
Phone (215) 537-7400

100 E Lancaster Ave
Ste 252
Wynnewood, PA 19096
Phone (610) 896-7360

100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583

Organizations & group practices 8

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 3

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": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1548987977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 RED OAK CIR",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190641063",
            "telephone_number": "610-675-4254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405103",
            "telephone_number": "800-836-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURSTON",
        "first_name": "ALEXANDRA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP026290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.