Individual provider Active NPI

Maura Coulter, CRNP

  • Adult Health Nurse Practitioner
  • Wyndmoor, PA
National Provider Identifier
1629443684
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP015698 Issued in PA
Practice address
8765 Stenton Ave
Wyndmoor, PA 19038-8317
Phone
(215) 836-2440
Fax
(215) 836-2448
NPI assigned
Dec 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP015698 PA Primary

Addresses

Primary practice location

8765 Stenton Ave
Wyndmoor, PA 19038-8317

Mailing address

8765 Stenton Ave
Wyndmoor, PA 19038-8317
Phone (215) 836-2440

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
I20170525000269 PA Practitioner - Nurse Practitioner 2264709179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keystone HospiceGroup PAC ID 3274578240, 5 clinicians

Practice addresses (Care Compare)

8765 Stenton Ave
Wyndmoor, PA 19038-8317
Phone (215) 836-2440

Hospital & facility affiliations

  • Temple Health - Chestnut Hill Hospital Hospital, Philadelphia, PA, CCN 390026

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Hospice CurrentSince Mar 25, 2017 Accepting new patients
Keystone Hospice CurrentSince Mar 25, 2017 Accepting new patients

Locations

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

8765 Stenton Ave
Wyndmoor, PA 19038
Phone (215) 836-2440

Organizations & group practices 2

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 1

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": "1449014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1629443684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8765 STENTON AVE",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190388317",
            "telephone_number": "215-836-2440",
            "fax_number": "215-836-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8765 STENTON AVE",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190388317",
            "telephone_number": "215-836-2440",
            "fax_number": "215-836-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COULTER",
        "first_name": "MAURA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-02",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP015698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyndmoor, PA

Sources for this page

Verify at the official NPI Registry.