Individual provider Active NPI

Amy A Isabelle, FNP-BC

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1568084093
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP025697 Issued in PA
Practice address
125 S 9TH St
Philadelphia, PA 19107-5125
Phone
(215) 592-4500
Fax
(215) 592-4326
NPI assigned
May 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP201190 ME
Family Nurse Practitioner 363LF0000X SP025697 PA Primary

Addresses

Primary practice location

125 S 9TH St
Philadelphia, PA 19107-5125

Mailing address

1300 Spruce St Apt 2D
Philadelphia, PA 19107-6240
Phone (224) 381-5509

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
I20221018000182 PA Practitioner - Nurse Practitioner 6901220532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 Callowhill St
Suite 101
Philadelphia, PA 19123-3658
Phone (215) 825-8220

125 S 9TH St
Mary Howard Health Center
Philadelphia, PA 19107-5125
Phone (215) 592-4500

1500 Market St
Philadelphia, PA 19102-2100
Phone (267) 615-1720

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP201190MEMDNurse Practitioner
SP025697PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Management Corporation CurrentSince Jun 3, 2022 Accepting new patients
Public Health Management Corporation CurrentSince Jun 3, 2022 Accepting new patients
Public Health Management Corporation Current Accepting new patients
Public Health Mangement Corporation Past Accepting new patients

Locations

216 W Somerset St
Philadelphia, PA 19133
Phone (215) 763-8870

1200 Callowhill St
Ste 101
Philadelphia, PA 19123
Phone (215) 825-8212

501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046

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

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

Interoperability endpoints

  • Direct secure messaging: aisabelle579443@direct.ochin.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1568084093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SPRUCE ST APT 2D",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076240",
            "telephone_number": "224-381-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S 9TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075125",
            "telephone_number": "215-592-4500",
            "fax_number": "215-592-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISABELLE",
        "first_name": "AMY",
        "middle_name": "A",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-06",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "CNP201190",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP025697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.