Ingrid McKenzie Fitzgerald, CRNP
Individual provider Active NPI Family Nurse Practitioner · Philadelphia, PA
NPI 1558025494 · NPPES record last updated Apr 5, 2022
Key facts
- NPI
- 1558025494
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- SP022963 (PA)
- Practice address
- 801 Spruce St
Philadelphia, PA 19107-5701 - Phone
- (215) 829-6700
- NPI assigned
- Oct 27, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 46
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Cora Health Services Inc
University of Penn-Medical Group
H2 Health and Rehabilitation Services LLC
Practice addresses (Care Compare)
11661 State Rd 70
Lakewood Ranch, FL 34202-9416
Phone (941) 222-0321
3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-3487
506 Hazle St
Wilkes Barre, PA 18702-4646
Phone (570) 270-4366
Hospital & facility affiliations
- Pennsylvania Hospital
- Hospital of Univ of Pennsylvania
- St Lukes Hospital
- Chester County Hospital
- Penn Presbyterian Medical Center
- Good Shepherd Penn Partners
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.91 of 100
- Quality
- 73.58
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.13
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221103003420 | PA | Practitioner - Nurse Practitioner | 7810379500 | Reassigns benefits to 1 organization |
| I20250327000457 | NJ | Practitioner - Nurse Practitioner | 7810379500 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Penn-Medical Group | Current |
Accepting new patients | |
| Clinical Health Care Associates of New Jersey, PC | Current |
Accepting new patients | |
| Clinical Health Care Associates of New Jersey, PC | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Clinical Health Care Associates of New Jersey PC | Current |
Accepting new patients | |
| University of Penn-Medical Group | Current |
Accepting new patients | |
| Clinical Health Care Associates of New Jersey, P.C. | Current |
Accepting new patients |
Locations
3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113
5 Plainsboro Rd
Ste 300
Plainsboro, NJ 08536
1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880
3400 Convention Ave
Philadelphia, PA 19104
Phone (215) 662-2300
801 Spruce St
Fl 8
Philadelphia, PA 19107
Phone (215) 829-2345
801 Spruce St
Philadelphia, PA 19107
Phone (215) 829-3396
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP022963 | PA | Yes |
Addresses
Primary practice location
801 Spruce St
Philadelphia, PA 19107-5701
Mailing address
1040 Edgerton Rd
Secane, PA 19018-2906
Phone (610) 931-1742
Other practice location 1
3400 Civic Center Blvd
15th floor, South Pavillion
Philadelphia, PA 19104-4238
Phone (215) 316-5151
Other providers in Philadelphia, PA
- Leslie Fitz
- David Andrew Fitzgerald
- Elizabeth Meadows Fitzgerald
- Frances A Fitzgerald
- Garret Adare Fitzgerald
- Jamie Fitzgerald
- Joanne Fitzgerald
- Julie Christina Fitzgerald
- Kyle Tyrone Fitzgerald
- Mark Patrick Fitzgerald
All providers in Philadelphia, PA · Family Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.