Individual provider Active NPI

Sheetal Gladson, NURSE PRACTITIONER

  • Nurse Practitioner
  • Montgomeryville, PA
National Provider Identifier
1740772433
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP017676 Issued in PA
Practice address
640 Bethlehem Pike
Montgomeryville, PA 18936-9701
Phone
(800) 427-1902
Fax
(419) 531-2664
NPI assigned
May 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP017676 PA Primary

Addresses

Primary practice location

640 Bethlehem Pike
Montgomeryville, PA 18936-9701

Mailing address

333 N Summit St FL 7
Toledo, OH 43604-1531
Phone (800) 427-1902

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
I20180614002205 PA Practitioner - Nurse Practitioner 7214282292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Care Medical Associates P CGroup PAC ID 2860559812, 16 clinicians

Practice addresses (Care Compare)

100 N Buckstown Rd
Suite E 206
Langhorne, PA 19047-1815
Phone (215) 741-1963

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP017676PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HCR Manor Care Medical Services of Florida LLC Nurse Practitioner CurrentSince Jun 25, 2018 Accepting new patients
Comprehensive Care Medical Associates P C CurrentSince Dec 1, 2022 Accepting new patients
HCR Manorcare Medical Services of Florida LLC Nurse Practitioner CurrentSince Jun 25, 2018 Accepting new patients

Locations

L2540
Columbus, OH 43260

333 N Summit St
Fl 7
Toledo, OH 43604
Phone (419) 252-5909

3430 Huntingdon Pike
Huntingdon Vy, PA 19006
Phone (215) 938-7171

100 N Buckstown Rd
Ste E206
Langhorne, PA 19047
Phone (215) 741-1963

640 Bethlehem Pike
Montgomeryvle, PA 18936
Phone (215) 368-4350

8350 Roosevelt Blvd
Ste B
Philadelphia, PA 19152

8350 Roosevelt Blvd
#B
Philadelphia, PA 19152

Interoperability endpoints

  • Direct secure messaging: sheetal.gladson.p2@direct.alegiscare.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1740772433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST FL 7",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041531",
            "telephone_number": "800-427-1902",
            "fax_number": "419-531-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 BETHLEHEM PIKE",
            "city": "MONTGOMERYVILLE",
            "state": "PA",
            "postal_code": "189369701",
            "telephone_number": "800-427-1902",
            "fax_number": "419-531-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADSON",
        "first_name": "SHEETAL",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP017676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomeryville, PA

Sources for this page

Verify at the official NPI Registry.