Individual provider Active NPI

Robyn Jeanne Carlisle, C.N.M.

  • Advanced Practice Midwife
  • Philadelphia, PA
National Provider Identifier
1760611578
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN583041 Issued in PA
Practice address
800 Walnut St
14TH Floor
Philadelphia, PA 19107-5176
Phone
(215) 829-8000
NPI assigned
Jul 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X RN583041 PA Primary
Advanced Practice Midwife 367A00000X 25ME00046801 NJ

Addresses

Primary practice location

800 Walnut St
14TH Floor
Philadelphia, PA 19107-5176

Mailing address

800 Walnut St
14TH Floor
Philadelphia, PA 19107-5176
Phone (215) 829-8000

Other identifiers 1

IdentifierTypeStateIssuer
0206679MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091021000124 NJ Practitioner - Certified Nurse Midwife (CNM) 9537206750 Reassigns benefits to 1 organization
I20150511000575 PA Practitioner - Certified Nurse Midwife (CNM) 9537206750 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, 793 clinicians

Practice addresses (Care Compare)

1006 Mantua Pike
Woodbury, NJ 08097-1221
Phone (856) 845-6880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group Advanced Practice Midwife CurrentSince Jun 22, 2015 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Jan 1, 2020 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Jun 22, 2015 Accepting new patients
University of Penn-Medical Group CurrentSince Jun 22, 2015 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Jan 1, 2020 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Jun 22, 2015 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Advanced Practice Midwife Past Accepting new patients

Locations

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

800 Walnut St
Fl 14
Philadelphia, PA 19107
Phone (215) 829-3445

801 Spruce St
Philadelphia, PA 19107
Phone (215) 829-3396

800 Walnut St
Fl 10
Philadelphia, PA 19107
Phone (215) 829-2345

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 8

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": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1760611578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WALNUT ST",
            "address_2": "14TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075176",
            "telephone_number": "215-829-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WALNUT ST",
            "address_2": "14TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075176",
            "telephone_number": "215-829-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLISLE",
        "first_name": "ROBYN",
        "middle_name": "JEANNE",
        "credential": "C.N.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "RN583041",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NJ",
            "license": "25ME00046801",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0206679",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.