Individual provider Active NPI

Mary Van Metre, CRNP

  • Family Nurse Practitioner
  • York, PA
National Provider Identifier
1750328035
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
UP000600B Issued in PA
Practice address
116 S George St
York, PA 17401-1408
Phone
(717) 845-8617
Fax
(717) 854-6645
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X UP000600B PA Primary

Addresses

Primary practice location

116 S George St
York, PA 17401-1408

Mailing address

116 S George St
Suite 301
York, PA 17401-1408
Phone (717) 801-4866

Other identifiers 2

IdentifierTypeStateIssuer
Q42251OtherPAHEALTH AMERICA/HEALTH ASS
50049643OtherPACAPITAL BLUE CROSS/KEYSTO

Other names 1

  • Mary E Chadroff Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UP000600BPAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: mary.vanmetre@direct-address.net
  • Direct secure messaging: mary.vanmetre1@direct-address.net

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1750328035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S GEORGE ST",
            "address_2": "SUITE 301",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174011408",
            "telephone_number": "717-801-4866",
            "fax_number": "717-854-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174011408",
            "telephone_number": "717-845-8617",
            "fax_number": "717-854-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN METRE",
        "first_name": "MARY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "UP000600B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA/HEALTH ASS",
            "identifier": "Q42251",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS/KEYSTO",
            "identifier": "50049643",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "CHADROFF",
            "middle_name": "E",
            "credential": "CRNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.