Individual provider Active NPI

Kelly Applebaum, CRNP

  • Acute Care Nurse Practitioner
  • Abington, PA
National Provider Identifier
1740540251
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP012096 Issued in PA
Practice address
1200 Old York Rd
5 Toll
Abington, PA 19001-3720
Phone
(215) 481-4200
NPI assigned
May 18, 2012
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Jefferson Medical College of Thomas Jefferson University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abington Memorial Hospital 442 clinicians

Practice addresses (Care Compare)

1200 Old York Rd
Abington, PA 19001-3720
Phone (215) 481-4200

Hospital & facility affiliations

  • Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20121003000042 PA Practitioner - Nurse Practitioner 2769631092 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP012096PAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abington Memorial Hospital CurrentSince May 11, 2013 Accepting new patients
Abington Memorial Hospital CurrentSince May 11, 2013 Accepting new patients
Womencare OB GYN, P.C. Past Accepting new patients

Locations

1200 Old York Rd
#5
Abington, PA 19001
Phone (215) 481-4100

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

1235 Old York Rd
Ste G121
Abington, PA 19001
Phone (215) 517-1200

118 Welsh Rd
Unit B
Horsham, PA 19044
Phone (215) 517-1000

2500 Maryland Rd
Ste 400
Willow Grove, PA 19090
Phone (215) 481-3915

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X SP012096 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

1200 Old York Rd
5 Toll
Abington, PA 19001-3720

Mailing address

1200 Old York Rd
Abington, PA 19001-3720
Phone (215) 481-4200

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1028293810001MedicaidPA

Other names 1

NPPES NPI Registry
  • Kelly Ritter Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 8, 2018.

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1740540251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 OLD YORK RD",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013720",
            "telephone_number": "215-481-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 OLD YORK RD",
            "address_2": "5 TOLL",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013720",
            "telephone_number": "215-481-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPLEBAUM",
        "first_name": "KELLY",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-18",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP012096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028293810001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "RITTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Abington, PA

Sources for this page

Verify at the official NPI Registry.