Individual provider Active NPI

Mark George Robinson, CRNP

  • Family Nurse Practitioner
  • Oaks, PA
National Provider Identifier
1609146919
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP011655 Issued in PA
Practice address
450 Cresson Boulevard
Suite 110
Oaks, PA 19456
Phone
(610) 728-6074
NPI assigned
Jan 3, 2012
Last updated
Jan 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP011655 PA Primary

Addresses

Primary practice location

450 Cresson Boulevard
Suite 110
Oaks, PA 19456

Mailing address

14 Melissa LN
Downingtown, PA 19335-1255
Phone (215) 760-4887

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
I20120220000504 PA Practitioner - Nurse Practitioner 6204094410 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennsylvania Urgent Care Centers, PLLCGroup PAC ID 8123200631, 107 clinicians

Practice addresses (Care Compare)

1444 W Passyunk Ave
Doctors Express
Philadelphia, PA 19145-2312
Phone (215) 964-9250

150 E Pennsylvania Ave
Downingtown, PA 19335-2657
Phone (610) 518-1060

2623 E Macdade Boulevard
Holmes, PA 19043-1317
Phone (267) 635-6060

715B Route 113
Souderton, PA 18964-1000
Phone (267) 382-3220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP011655PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MHP MD PLLC CurrentSince Jul 1, 2022 Accepting new patients
Spuc, LLC CurrentSince Jun 1, 2019 Accepting new patients
Pennsylvania Urgent Care Centers, PLLC CurrentSince Jan 1, 2015 Accepting new patients
Pennsylvania Urgent Care Centers, PLLC PastSince Aug 25, 2019 Accepting new patients
Premier Immediate Medical Care, LLC Past Accepting new patients

Locations

400 Fayette St
Ste 180
Conshohocken, PA 19428
Phone (484) 243-6622

48 E Ridge Pike
#A
Conshohocken, PA 19428
Phone (484) 243-6730

150 E Pennsylvania Ave
Ste 140
Downingtown, PA 19335
Phone (610) 518-1060

300 Old Forge Ln
Ste 302
Kennett Square, PA 19348
Phone (484) 778-8000

934 Montgomery Ave
Penn Valley, PA 19072
Phone (484) 270-8600

1444 W Passyunk Ave
Philadelphia, PA 19145
Phone (215) 389-4444

180 W Girard Ave
Ste 108
Philadelphia, PA 19123
Phone (267) 319-8047

2401 W Cheltenham Ave
Ste 132
Wyncote, PA 19095
Phone (215) 935-6777

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, 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": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1609146919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MELISSA LN",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193351255",
            "telephone_number": "215-760-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CRESSON BOULEVARD",
            "address_2": "SUITE 110",
            "city": "OAKS",
            "state": "PA",
            "postal_code": "19456",
            "telephone_number": "610-728-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "MARK",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP011655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oaks, PA

Sources for this page

Verify at the official NPI Registry.