Individual provider Active NPI

Fallon Bina Hope, CRNP

  • Nurse Practitioner
  • Chester, PA
National Provider Identifier
1740001718
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP030976 Issued in PA
Practice address
1 Medical Center Blvd
Chester, PA 19013-3995
Phone
(610) 447-2000
NPI assigned
Oct 22, 2024
Last updated
Dec 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X SP030976 PA
Nurse Practitioner 363L00000X SP030976 PA Primary

Addresses

Primary practice location

1 Medical Center Blvd
Chester, PA 19013-3995

Mailing address

717 S Columbus Blvd Apt PH-3
Philadelphia, PA 19147-3506
Phone (215) 478-1647

Other names 1

  • Fallon Mashkovich Former name

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
I20241212004413 PA Practitioner - Nurse Practitioner 4880120807 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP030976PAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. CurrentSince Jan 6, 2025 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jan 6, 2025 Accepting new patients

Locations

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1 Medical Center Blvd
Ste 220
Chester, PA 19013
Phone (610) 394-1889

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

500 Evergreen Dr
Ste 23
Glen Mills, PA 19342
Phone (610) 579-3630

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

Organizations & group practices 3

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": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1740001718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 S COLUMBUS BLVD APT PH-3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191473506",
            "telephone_number": "215-478-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133995",
            "telephone_number": "610-447-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPE",
        "first_name": "FALLON",
        "middle_name": "BINA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP030976",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP030976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FALLON",
            "last_name": "MASHKOVICH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chester, PA

Sources for this page

Verify at the official NPI Registry.