Individual provider Active NPI

Maria Arevalo

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1598200875
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP017002 Issued in PA
Practice address
6501 Harbison Ave
Philadelphia, PA 19149-2912
Phone
(610) 519-1920
NPI assigned
Dec 22, 2016
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 203581 ND
Family Nurse Practitioner 363LF0000X 24194516 VA
Family Nurse Practitioner 363LF0000X 200871 SD
Family Nurse Practitioner 363LF0000X 11042463 FL
Family Nurse Practitioner 363LF0000X 123889 WV
Family Nurse Practitioner 363LF0000X SP017002 PA Primary
Family Nurse Practitioner 363LF0000X 1201521 CT
Family Nurse Practitioner 363LF0000X 5023233 NC

Addresses

Primary practice location

6501 Harbison Ave
Philadelphia, PA 19149-2912

Mailing address

6501 Harbison Ave
Philadelphia, PA 19149-2912
Phone (866) 389-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA, CT, WI, NC5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20170328000405 PA Practitioner - Nurse Practitioner 4981989381 Reassigns benefits to 2 organizations
I20251030003098 VA Practitioner - Nurse Practitioner 4981989381 Reassigns benefits to 1 organization
I20251031003185 CT Practitioner - Nurse Practitioner 4981989381
I20251112001025 WI Practitioner - Nurse Practitioner 4981989381
I20251129000358 NC Practitioner - Nurse Practitioner 4981989381

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minuteclinic Video Virtual Care, PLLCGroup PAC ID 0143650416, 36 clinicians
Minuteclinic Diagnostic of Virginia LLCGroup PAC ID 6709960891, 142 clinicians

Practice addresses (Care Compare)

1218 E Lancaster Ave
Bryn Mawr, PA 19010-2616
Phone (866) 389-2727

19305 Ruby Dr
Leesburg, VA 20176-6508
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15211CTMDClinical Social Worker
1201521CTMDFamily Nurse Practitioner
11042463FLMDFamily Nurse Practitioner
5023233NCMDFamily Nurse Practitioner
203581NDMDFamily Nurse Practitioner
24194516VAMDFamily Nurse Practitioner
123889WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Video Virtual Care, PLLC Family CurrentSince Jul 15, 2025 Accepting new patients
Minuteclinic Diagnostic of Virginia LLC Family CurrentSince Sep 30, 2025 Accepting new patients
Minuteclinic Diagnostic of Pennsylvania LLC Family CurrentSince Feb 7, 2017 Accepting new patients

Locations

1218 E Lancaster Ave
Bryn Mawr, PA 19010
Phone (610) 519-1920

840 S Valley Forge Rd
Lansdale, PA 19446
Phone (215) 362-6303

1500 Spruce St
Philadelphia, PA 19102
Phone (215) 790-3290

6501 Harbison Ave
Philadelphia, PA 19149
Phone (215) 268-1164

1 Cvs Dr
#2295
Woonsocket, RI 02895
Phone (401) 770-8043

19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1598200875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 HARBISON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191492912",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 HARBISON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191492912",
            "telephone_number": "610-519-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AREVALO",
        "first_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-22",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "203581",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "24194516",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "200871",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11042463",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "123889",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017002",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "1201521",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5023233",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.