Individual provider Active NPI

Kerlange Ford

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1760072409
Registry record updated Apr 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP023149 Issued in PA
Practice address
1200 W Godfrey Ave Ste 3100
Philadelphia, PA 19141-3323
Phone
(215) 444-7469
Fax
(215) 764-6555
NPI assigned
Jan 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2025

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 SP023149 PA Primary

Addresses

Primary practice location

1200 W Godfrey Ave Ste 3100
Philadelphia, PA 19141-3323

Mailing address

1919 Smith Ave
Willow Grove, PA 19090-3818
Phone (267) 257-5245

Other practice location 1

7515 Stenton Ave
Philadelphia, PA 19150-3710
Phone (267) 257-5245

Other names 1

  • Kerlange Mentor Former name

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
I20210621000718 PA Practitioner - Nurse Practitioner 3173923695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh - PA Physicians Group, PCGroup PAC ID 7517213879, 113 clinicians

Practice addresses (Care Compare)

1200 W Godfrey Ave
Suite 3100
Philadelphia, PA 19141-3323
Phone (215) 444-7469

Hospital & facility affiliations

  • Jefferson Einstein Philadelphia Hospital Hospital, Philadelphia, PA, CCN 390142

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP023149PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osh - PA Physicians Group, PC Family CurrentSince Apr 14, 2025 Accepting new patients
Citylife-PA, PC CurrentSince Apr 6, 2025 Accepting new patients
Urban Health Solutions Inc. Past Accepting new patients

Locations

3621 Aramingo Ave
Philadelphia, PA 19134
Phone (312) 600-8484

1200 W Godfrey Ave
Ste 3100
Philadelphia, PA 19141
Phone (215) 444-7469

951 N 6th St
Ste 221
Reading, PA 19601
Phone (484) 207-2000

Interoperability endpoints

  • Direct secure messaging: kerlange.ford@oakstreethealth.gwaydirect.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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743811200000",
    "number": "1760072409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 SMITH AVE",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190903818",
            "telephone_number": "267-257-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W GODFREY AVE STE 3100",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413323",
            "telephone_number": "215-444-7469",
            "fax_number": "215-764-6555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7515 Stenton Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191503710",
            "country_code": "US",
            "telephone_number": "267-257-5245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "KERLANGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2025-04-05",
        "certification_date": "2025-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP023149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERLANGE",
            "last_name": "MENTOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.