Anna Antonova

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP028340 Issued in PA

Practice address

6501 Harbison Ave
Philadelphia, PA 19149-2912

Phone

(215) 333-4300

NPI assigned

Aug 14, 2023

Last updated

Jan 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minuteclinic Diagnostic of Pennsylvania LLCGroup PAC ID 5395827307, 84 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Minuteclinic Diagnostic of Pennsylvania LLC

  • Family Nurse Practitioner
  • Bryn Mawr, PA
  • NPI 1881738037
  Medicare reassignment Care Compare group NPD
• Minuteclinic Video Virtual Care, PLLC

  • Family Nurse Practitioner
  • Woonsocket, RI
  • NPI 1316402746

  PA

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1730962952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2263 PLUM AVE",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190203538",
            "telephone_number": "267-752-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 HARBISON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191492912",
            "telephone_number": "215-333-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONOVA",
        "first_name": "ANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2024-01-10",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP028340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Antonacci, MD
• Anne Antonenko, LCSW
• Antonia Pantoja Charter School
• Antonia Pantoja Community Charter School
• Maria Antoniou, MD
• Joshua Antos
• Raquel Sofia Antos
• Brittney Diane Antwi, DMD
• Leah Antwi
• Oyebisi Josephine Antwi, NP

• Family Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.

Verify at the official NPI Registry.