Individual provider Active NPI

Aubree Marie Richards, CRNP

  • Nurse Practitioner
  • Harrisburg, PA
National Provider Identifier
1679170989
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP022649 Issued in PA
Practice address
253 N Hershey Rd Ste 2
Harrisburg, PA 17112-9752
Phone
(717) 433-6814
NPI assigned
Oct 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP022649 PA Primary

Addresses

Primary practice location

253 N Hershey Rd Ste 2
Harrisburg, PA 17112-9752

Mailing address

253 N Hershey Rd
Harrisburg, PA 17112-9752
Phone (717) 433-6814

Other practice location 1

175 Lancaster Blvd
Mechanicsburg, PA 17055-3562
Phone (717) 433-6814

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
I20201020001396 PA Practitioner - Nurse Practitioner 0840610481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Medical Rehab LLCGroup PAC ID 6709176795, 5 clinicians

Practice addresses (Care Compare)

175 Lancaster Blvd
Mechanicsburg, PA 17055-3562
Phone (717) 691-3700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Rehab LLC CurrentSince Oct 12, 2020 Accepting new patients

Locations

253 N Hershey Rd
Ste 2
Harrisburg, PA 17112
Phone (717) 433-6814

253 N Hershey Rd
Harrisburg, PA 17112
Phone (717) 559-3111

175 Lancaster Blvd
Mechanicsburg, PA 17055
Phone (717) 691-3700

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1679170989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 N HERSHEY RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171129752",
            "telephone_number": "717-433-6814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 N HERSHEY RD STE 2",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171129752",
            "telephone_number": "717-433-6814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Lancaster Blvd",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170553562",
            "country_code": "US",
            "telephone_number": "717-433-6814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "AUBREE",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP022649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.