Individual provider Active NPI

Kelly McCann Stengel, MSN, CRNP

  • Adult Health Nurse Practitioner
  • Fort Washington, PA
National Provider Identifier
1669586913
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP007120 Issued in PA
Practice address
455 Pennsylvania Ave
Suite 105
Fort Washington, PA 19034-3403
Phone
(215) 793-4546
Fax
(215) 793-9007
NPI assigned
Aug 17, 2006
Last updated
Jan 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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 SP007120 PA Primary

Addresses

Primary practice location

455 Pennsylvania Ave
Suite 105
Fort Washington, PA 19034-3403

Mailing address

455 Pennsylvania Ave
Ste 105
Fort Washington, PA 19034-3404
Phone (215) 793-4546

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
I20040806000101 PA Practitioner - Nurse Practitioner 9436121936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scott a. Fleischer, M.D., P.C.Group PAC ID 3779569793, 13 clinicians

Practice addresses (Care Compare)

455 Pennsylvania Ave
Suite 260
Fort Washington, PA 19034-3400
Phone 215793454613

Merit-based Incentive Payment System (MIPS)

Final score
99.38 of 100Reported as group
Quality
90.67
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scott a. Fleischer, M.D., P.C. CurrentSince Jun 23, 2004 Accepting new patients

Locations

275 Commerce Dr
Ste 323
Fort Washington, PA 19034
Phone (215) 793-4546

455 Pennsylvania Ave
Ste 105
Ft Washington, PA 19034
Phone (215) 793-4546

455 Pennsylvania Ave
Ste 260
Ft Washington, PA 19034
Phone (215) 793-4546

Organizations & group practices 1

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1669586913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 PENNSYLVANIA AVE",
            "address_2": "STE 105",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190343404",
            "telephone_number": "215-793-4546",
            "fax_number": "215-793-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 PENNSYLVANIA AVE",
            "address_2": "SUITE 105",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190343403",
            "telephone_number": "215-793-4546",
            "fax_number": "215-793-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENGEL",
        "first_name": "KELLY",
        "middle_name": "MCCANN",
        "credential": "MSN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP007120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, PA

Sources for this page

Verify at the official NPI Registry.