Individual provider Active NPI

Hannah Baumstein, CRNP, RN, LPC

  • Psychiatric/Mental Health Nurse Practitioner
  • Villanova, PA
National Provider Identifier
1639837867
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP025091 Issued in PA
Practice address
795 E Lancaster Ave Ste 210
Villanova, PA 19085-1525
Phone
(215) 254-6000
Fax
(215) 754-4470
NPI assigned
Dec 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC014500 PA
Registered Nurse 163W00000X RN716533 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP025091 PA Primary

Addresses

Primary practice location

795 E Lancaster Ave Ste 210
Villanova, PA 19085-1525

Mailing address

795 E Lancaster Ave Ste 210
Villanova, PA 19085-1525

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
I20220323001517 PA Practitioner - Nurse Practitioner 0143615401 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PC014500PAMDMental Health Counselor
RN716533PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
CMC of PA PC PastSince Dec 17, 2023 Accepting new patients
Complete Mind Care of PA, LLC PastSince Sep 30, 2023 Accepting new patients
Complete Mind Care Brain Wellness PLLC PastSince Feb 23, 2025 Accepting new patients

Organizations & group practices 4

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": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1639837867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 E LANCASTER AVE STE 210",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851525",
            "fax_number": "215-754-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 E LANCASTER AVE STE 210",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851525",
            "telephone_number": "215-254-6000",
            "fax_number": "215-754-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMSTEIN",
        "first_name": "HANNAH",
        "credential": "CRNP, RN, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-06",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC014500",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN716533",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP025091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villanova, PA

Sources for this page

Verify at the official NPI Registry.