Active NPI
Bethany Cassidy, RN
- Family Nurse Practitioner
- Plymouth Meeting, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP017451
- Practice address
- 2901 Jolly Rd
Plymouth Meeting, PA 19462 - Phone
- (610) 272-8221
- Fax
- (610) 272-5655
- NPI assigned
- May 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN601676 | PA | |
| Family Nurse Practitioner | 363LF0000X | SP017451 | PA | Primary |
Addresses
Primary practice location
2901 Jolly Rd
Plymouth Meeting, PA 19462
Mailing address
2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Phone (610) 279-1453
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170612000157 | PA | Practitioner - Nurse Practitioner | 2365710621 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Acts Signature Community Services IncActs Retirement-Life Communities Inc
Practice addresses (Care Compare)
1343 W Baltimore Pike
Primary Care Services at Granite Farms Esta
Media, PA 19063-5519
Phone (610) 358-3440
9000 Twin Silo Dr
Blue Bell, PA 19422-4202
Phone (215) 699-8721
Hospital & facility affiliations
- Acts Home Health Agency of Pennsylvania
- Willowbrooke Ctskdcarectr Atnormandy Farms Estates
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN601676 | PA | MD | Registered Nurse |
| SP017451 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acts Signature Community Services, Inc. | Current | Accepting new patients | |
| Acts Signature Community Services, Inc. | Current | Accepting new patients | |
| HCR Manorcare Medical Services of Florida LLC | Current | Accepting new patients | |
| Acts Signature Community Services, Inc. | Current | Accepting new patients | |
| HCR Manor Care Medical Services of Florida LLC | Current | Accepting new patients |
Locations
L2540
Columbus, OH 43260
60 Highland Rd
Bethel Park, PA 15102
Phone (412) 531-6050
9000 Twin Silo Dr
Blue Bell, PA 19422
Phone (215) 699-8721
420 Delaware Dr
Ft Washington, PA 19034
Phone (215) 661-8330
3430 Huntingdon Pike
Huntingdon Vy, PA 19006
Phone (215) 938-7171
Interoperability endpoints
- bethany.cassidy.p1@direct.actslife.nextgenshare.com
Organizations & group practices 16
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.
-
- Internal Medicine Physician
- Spanish Fort, AL
- NPI 1427756303
-
- Internal Medicine Physician
- Southampton, PA
- NPI 1497623037
PA
-
- Home Health Agency
- Fort Washington, PA
- NPI 1568831303
-
- Community Based Hospice Care Agency
- Hockessin, DE
- NPI 1417467002
-
- Home Health Agency
- Boca Raton, FL
- NPI 1942874292
-
- Internal Medicine Physician
- Pensacola, FL
- NPI 1215326335
-
- Internal Medicine Physician
- Matthews, NC
- NPI 1306201652
-
- Internal Medicine Physician
- Hockessin, DE
- NPI 1518962315
-
- Internal Medicine Physician
- Rock Hill, SC
- NPI 1700353448
-
- Internal Medicine Physician
- Moorestown, NJ
- NPI 1801363544
-
- Internal Medicine Physician
- Huntsville, AL
- NPI 1922554641
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Blue Bell, PA
- NPI 1558303206
Nursing home
-
- Home Health Agency
- Fort Washington, PA
- NPI 1568831303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529452800000",
"number": "1669828729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 JOLLY RD",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194622324",
"telephone_number": "610-279-1453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 JOLLY RD",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "19462",
"telephone_number": "610-272-8221",
"fax_number": "610-272-5655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSIDY",
"first_name": "BETHANY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-09",
"last_updated": "2018-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN601676",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP017451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth Meeting, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.