NPIMap

Individual provider Active NPI

Susan Kellogg Spadt, CRNP

  • Nurse Practitioner
  • Bryn Mawr, PA
National Provider Identifier
1578801841
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
TP0001893G Issued in PA
Practice address
919 Conestoga Rd
Building 1, Suite 300
Bryn Mawr, PA 19010-1352
Phone
(610) 656-6580
Fax
(610) 525-3664
NPI assigned
Jan 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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 TP0001893G PA Primary
Women's Health Nurse Practitioner 363LW0102X TP001893G PA

Addresses

Primary practice location

919 Conestoga Rd
Building 1, Suite 300
Bryn Mawr, PA 19010-1352

Mailing address

919 Conestoga Rd
Building 1, Suite 300
Bryn Mawr, PA 19010-1352
Phone (610) 656-6580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130211000184 PA Practitioner - Nurse Practitioner 0749434249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Centers for Advanced Urology LLP 142 clinicians

Practice addresses (Care Compare)

919 Conestoga Rd
Suite 300
Bryn Mawr, PA 19010-1352
Phone (610) 565-6580

Hospital & facility affiliations

  • Bryn Mawr Hospital Hospital, Bryn Mawr, PA, CCN 390139
  • Paoli Hospital Hospital, Paoli, PA, CCN 390153
  • Good Shepherd Penn Partners Long-term care hospital, Philadelphia, PA, CCN 392050

Merit-based Incentive Payment System (MIPS)

Final score
90.14 of 100Reported as group
Promoting interoperability
100
Improvement activities
40
Cost
67.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
TP0001893GPAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physician Services, PC / Dba Midlantic Urology CurrentSince Oct 1, 2017 Accepting new patients
Alliance Physician Services, PC Current Accepting new patients
Alliance Physician Services, PC CurrentSince Oct 1, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
McKinney Teaching PC PastSince Jan 23, 2013 Accepting new patients

Locations

919 Conestoga Rd
Bldg 1
Bryn Mawr, PA 19010
Phone (610) 525-6400

919 Conestoga Rd
Ste 300
Bryn Mawr, PA 19010
Phone (610) 382-5910

211 S Gulph Rd
Ste 200
Kng of Prussa, PA 19406
Phone (610) 382-5910

656 E Swedesford Rd
Ste 120
Wayne, PA 19087
Phone (610) 273-5320

656 E Swedesford Rd
Ste 100
Wayne, PA 19087
Phone (610) 230-0736

Organizations & group practices 11

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": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1578801841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 CONESTOGA RD",
            "address_2": "BUILDING 1, SUITE 300",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101352",
            "telephone_number": "610-656-6580",
            "fax_number": "610-525-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 CONESTOGA RD",
            "address_2": "BUILDING 1, SUITE 300",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101352",
            "telephone_number": "610-656-6580",
            "fax_number": "610-525-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPADT",
        "first_name": "SUSAN",
        "middle_name": "KELLOGG",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-22",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "TP0001893G",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "TP001893G",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.