Active NPI
Alexandria Donnelly, MSN, CRNP
- Family Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP021562
- Practice address
- 51 N 39TH St Ste 300
Philadelphia, PA 19104-2640 - Phone
- (215) 662-8690
- NPI assigned
- Feb 28, 2020
- Last updated
- Sep 5, 2023
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP021562 | PA | Primary |
Addresses
Primary practice location
51 N 39TH St Ste 300
Philadelphia, PA 19104-2640
Mailing address
51 N 39TH St
Wright Saunders Suite 266
Philadelphia, PA 19104-2640
Other practice location 1
3400 Civic Center Blvd
Philadelphia, PA 19104-5127
Phone (215) 662-3877 ext. 21566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
- 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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1865 Route 70 E 260
Cherry Hill Vas Surg
Cherry Hill, NJ 08003-2013
Phone (215) 662-2069
3737 Market St
FL 4
Philadelphia, PA 19104-5544
Phone (215) 662-9660
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP021562 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Health Care Associates of New Jersey, PC | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Clinical Health Care Associates of New Jersey, P.C. | Current | Accepting new patients | |
| Clinical Health Care Associates of New Jersey, PC | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients |
Locations
1865 Route 70 E
Ste 260
Cherry Hill, NJ 08003
Phone (215) 662-9595
3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113
3400 Convention Ave
Philadelphia, PA 19104
Phone (215) 662-2300
3737 Market St
Fl 4
Philadelphia, PA 19104
Phone (215) 662-8664
Organizations & group practices 6
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.
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1235527342
-
- Pulmonary Disease Physician
- Cherry Hill, NJ
- NPI 1508019241
-
- Otolaryngology Physician
- Philadelphia, PA
- NPI 1225426331
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
-
- Family Medicine Physician
- Cherry Hill, NJ
- NPI 1447260435
-
- Surgery Physician
- Cherry Hill, NJ
- NPI 1073962353
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Chester, PA
- NPI 1356333579
-
dba UPHS Presbyterian Medical Center
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1245207521
-
dba Hospital of the University of Pennsylvania
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1750915781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 N 39TH ST",
"address_2": "WRIGHT SAUNDERS SUITE 266",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191042640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 N 39TH ST STE 300",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191042640",
"telephone_number": "215-662-8690"
}
],
"practiceLocations": [
{
"address_1": "3400 Civic Center Blvd",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191045127",
"country_code": "US",
"telephone_number": "215-662-3877 x21566",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DONNELLY",
"first_name": "ALEXANDRIA",
"credential": "MSN, CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-28",
"last_updated": "2023-09-05",
"certification_date": "2023-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP021562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.