Shaina Allensworth, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Bryn Mawr, PA
NPI 1760140396 · NPPES record last updated Jan 23, 2025
Key facts
- NPI
- 1760140396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- SP024957 (PA)
- Practice address
- 1218 E Lancaster Ave
Bryn Mawr, PA 19010-2616 - Phone
- (877) 993-4321
- NPI assigned
- Dec 1, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Metro Infectious Disease Consultants LLC
Practice addresses (Care Compare)
1005 Beaver Grade Rd
Suite 105
Moon Township, PA 15108-2964
Phone (877) 448-3627
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (6 enrollments) in PA, CT, FL, DC, VA, NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220405000570 | PA | Practitioner - Nurse Practitioner | 2769878503 | Reassigns benefits to 2 organizations |
| I20250219001485 | CT | Practitioner - Nurse Practitioner | 2769878503 | Reassigns benefits to 1 organization |
| I20250318001866 | FL | Practitioner - Nurse Practitioner | 2769878503 | Reassigns benefits to 1 organization |
| I20250318002820 | DC | Practitioner - Nurse Practitioner | 2769878503 | Reassigns benefits to 2 organizations |
| I20250326000917 | VA | Practitioner - Nurse Practitioner | 2769878503 | Reassigns benefits to 1 organization |
| I20250513000202 | NJ | Practitioner - Nurse Practitioner | 2769878503 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14270 | CT | MD | Clinical Social Worker |
| SP024957 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Video Virtual Care, PLLC | Family | Current |
Accepting new patients |
| Minuteclinic Diagnostic of New Jersey LLC | Family | Current |
Accepting new patients |
| Minuteclinic Diagnostic of Virginia LLC | Family | Current |
Accepting new patients |
| Metro Infectious Disease Consultants, LLC | Current |
Accepting new patients | |
| Metro Infectious Disease Consultants LLC | Current |
Accepting new patients | |
| MC Medical Group of DC, PC | Family | Current |
Accepting new patients |
| MC Diagnostic of Connecticut, P.C. | Family | Current |
Accepting new patients |
| Minuteclinic LLC | Family | Current |
Accepting new patients |
| Metro Infectious Disease Consultants, LLC | Past | Accepting new patients |
Locations
3514 Main St
Coventry, CT 06238
Phone (860) 298-5925
323 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 384-9666
320 40th St NE
Washington, DC 20019
Phone (202) 236-1840
845 Bladensburg Rd NE
Washington, DC 20002
Phone (202) 247-6551
121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380
12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473
12280 Lake Underhill Rd
Orlando, FL 32825
Phone (407) 273-3284
8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840
7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-0943
901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201
471 Main St
Chatham, NJ 07928
Phone (973) 635-4636
4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700
307 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 589-1177
937 E Haverford Rd
Ste 102
Bryn Mawr, PA 19010
1218 E Lancaster Ave
Bryn Mawr, PA 19010
Phone (610) 519-1920
875 Poplar Church Rd
Ste 340
Camp Hill, PA 17011
Phone (717) 303-3588
1181 Freedom Rd
Cranberry Twp, PA 16066
Phone (724) 742-1888
491 Allendale Rd
Ste 106
Kng of Prussa, PA 19406
Phone (610) 265-2611
840 S Valley Forge Rd
Lansdale, PA 19446
Phone (215) 362-6303
5703 Steubenville Pike
Mc Kees Rocks, PA 15136
Phone (412) 788-4676
1005 Beaver Grade Rd
Ste 105
Moon Township, PA 15108
1500 Spruce St
Philadelphia, PA 19102
Phone (215) 790-3290
1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687
19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP024957 | PA | Yes |
Addresses
Primary practice location
1218 E Lancaster Ave
Bryn Mawr, PA 19010-2616
Mailing address
1181 Freedom Rd
Cranberry Township, PA 16066-4913
Phone (724) 742-1888
Other practice location 1
1181 Freedom Rd
Cranberry Township, PA 16066-4913
Phone (724) 742-1888
Other providers in Bryn Mawr, PA
- Ellen Albert
- Ann-Michelle Albertson
- Shannon Alexa Fishman
- Fahad Ali
- Nadia K Ali
- Dawn Altman
- Brunno Bernard Amorim Alves
- Dalia K Amar
- Ann M Ambrose
- Shanna Marie Amoroso
All providers in Bryn Mawr, PA · Family Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.