Individual provider Active NPI

Joelle Elizabeth McNulty-Sell, PA-C

  • Physician Assistant
  • Wayne, PA
National Provider Identifier
1760704316
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA053460 Issued in PA
Practice address
744 W Lancaster Ave
Wayne, PA 19087-2523
Phone
(610) 688-8750
Fax
(610) 688-8751
NPI assigned
Feb 24, 2010
Last updated
Oct 21, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA053460 PA Primary

Addresses

Primary practice location

744 W Lancaster Ave
Wayne, PA 19087-2523

Mailing address

744 W Lancaster Ave
Wayne, PA 19087-2523
Phone (610) 688-8750

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
I20120412000550 PA Practitioner - Physician Assistant 9638330905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John K. Wildemore, MD, LLCGroup PAC ID 5698775104, 4 clinicians

Practice addresses (Care Compare)

744 Lancaster Ave
Suite 230
Wayne, PA 19087-2551
Phone (610) 688-8750

744 W Lancaster Ave
Wayne, PA 19087-2551

Merit-based Incentive Payment System (MIPS)

Final score
92.44 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
74.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA053460PAMDPhysician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1760704316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 W LANCASTER AVE",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190872523",
            "telephone_number": "610-688-8750",
            "fax_number": "610-688-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 W LANCASTER AVE",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190872523",
            "telephone_number": "610-688-8750",
            "fax_number": "610-688-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNULTY-SELL",
        "first_name": "JOELLE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-24",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA053460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

Verify at the official NPI Registry.