Active NPI
Patricia M Patrick, CRNP
- Adult Health Nurse Practitioner
- Newtown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- VP003456P
- Practice address
- 11 Friends LN
Suite 103
Newtown, PA 18940-1885 - Phone
- (215) 741-5600
- Fax
- (215) 702-9331
- NPI assigned
- Jun 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | VP003456P | PA | Primary |
Addresses
Primary practice location
11 Friends LN
Suite 103
Newtown, PA 18940-1885
Mailing address
104 Pheasant Run
Suite 128
Newtown, PA 18940-3439
Phone (215) 860-3344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Trenton Rd
Browns Mills, NJ 08015-1705
Phone (609) 893-6611
Hospital & facility affiliations
- Deborah Heart and Lung Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VP003456P | PA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deborah Cardiovascular Group, P.C. | Current | Accepting new patients | |
| Professional Service Fund of Deborah Heart & Lung Center | Current | Accepting new patients | |
| Professional Service Fund of Deborah- Anesthesia | Current | Accepting new patients | |
| Pennsylvania Heart and Vascular Group, P.C. | Past | Accepting new patients |
Locations
200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200
415 Chris Gaupp Dr
Ste C
Galloway, NJ 08205
Phone (609) 748-7574
599 Route 37 W
Toms River, NJ 08755
Phone (732) 269-1133
Interoperability endpoints
- https://api.platform.athenahealth.com/11366/brand/2/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Specialist
- Browns Mills, NJ
- NPI 1821041732
-
- Specialist
- Browns Mills, NJ
- NPI 1407803596
-
- Specialist
- Browns Mills, NJ
- NPI 1902852015
-
- Cardiovascular Disease Physician
- Jenkintown, PA
- NPI 1578515748
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Browns Mills, NJ
- NPI 1467440743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487894400000",
"number": "1740217835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 PHEASANT RUN",
"address_2": "SUITE 128",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189403439",
"telephone_number": "215-860-3344",
"fax_number": "215-860-8950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 FRIENDS LN",
"address_2": "SUITE 103",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189401885",
"telephone_number": "215-741-5600",
"fax_number": "215-702-9331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRICK",
"first_name": "PATRICIA",
"middle_name": "M",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2017-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "VP003456P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.