Individual provider Active NPI

Susan M. Sailer, CRNP

  • Family Nurse Practitioner
  • Wynnewood, PA
National Provider Identifier
1720161490
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
VP005729B Issued in PA
Practice address
100 E Lancaster Ave
361 Medical Office Building, East
Wynnewood, PA 19096-3450
Phone
(610) 649-6420
Fax
(610) 649-4689
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X VP005729B PA
Registered Nurse 163W00000X RN271591L PA
Family Nurse Practitioner 363LF0000X VP005729B PA Primary

Addresses

Primary practice location

100 E Lancaster Ave
361 Medical Office Building, East
Wynnewood, PA 19096-3450

Mailing address

100 E Lancaster Ave
361 Medical Office Building,East
Wynnewood, PA 19096-3450
Phone (610) 649-6420

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
I20110519000389 PA Practitioner - Nurse Practitioner 6204012685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.14 of 100Reported as group
Promoting interoperability
100
Improvement activities
40
Cost
67.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN271591LPAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physician Services, PC CurrentSince Oct 1, 2017 Accepting new patients
Alliance Physician Services, PC / Dba Midlantic Urology CurrentSince Oct 1, 2017 Accepting new patients
Alliance Physician Services, PC Current Accepting new patients
Alliance Physician Services, PC Past Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Past Accepting new patients

Locations

1235 Old York Rd
Ste 210
Abington, PA 19001
Phone (215) 517-1100

931 E Haverford Rd
Bryn Mawr, PA 19010
Phone (610) 525-2311

211 S Gulph Rd
Ste 200
Kng of Prussa, PA 19406
Phone (610) 382-5910

656 E Swedesford Rd
Ste 100
Wayne, PA 19087
Phone (610) 230-0736

656 E Swedesford Rd
Ste 120
Wayne, PA 19087
Phone (610) 273-5320

1450 E Boot Rd
Ste 600B
West Chester, PA 19380
Phone (610) 692-6787

100 E Lancaster Ave
Ste 361
Wynnewood, PA 19096
Phone (484) 476-8390

Interoperability endpoints

  • Direct secure messaging: ssailer@urologyhealthspecialists.medentdirect.com

Organizations & group practices 5

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1720161490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "address_2": "361 MEDICAL OFFICE BUILDING,EAST",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "610-649-6420",
            "fax_number": "610-649-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "address_2": "361 MEDICAL OFFICE BUILDING, EAST",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "610-649-6420",
            "fax_number": "610-649-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAILER",
        "first_name": "SUSAN",
        "middle_name": "M.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "VP005729B",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN271591L",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "VP005729B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

Verify at the official NPI Registry.