Individual provider Active NPI

Maureen Lynn Gardo, CRNP

  • Family Nurse Practitioner
  • Norristown, PA
National Provider Identifier
1760907992
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP017682 Issued in PA
Practice address
703 Dekalb Street
Norristown, PA 19401-3945
Phone
(610) 619-8024
Fax
(610) 465-8714
NPI assigned
Aug 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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 SP017682 PA Primary

Addresses

Primary practice location

703 Dekalb Street
Norristown, PA 19401-3945

Mailing address

1970 N Broad St
Lansdale, PA 19446-1002
Phone (215) 368-1900

Other practice location 1

1970 N Broad St
Lansdale, PA 19446-1002
Phone (215) 368-1900

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
I20180413001919 PA Practitioner - Nurse Practitioner 3678836129 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
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)

703 Dekalb St
Norristown, PA 19401-3945
Phone (610) 619-8024

Hospital & facility affiliations

  • Jefferson Einstein Montgomery Hospital Hospital, East Norriton, PA, CCN 390329

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alignmed Partners, PC CurrentSince Aug 30, 2019 Accepting new patients
Osh - PA Physicians Group, PC Family CurrentSince Sep 23, 2024 Accepting new patients

Locations

549 Baltimore Pike
Glen Mills, PA 19342
Phone (610) 358-6005

1718 Spring Creek Rd
Macungie, PA 18062
Phone (610) 366-0500

1194 Naamans Creek Rd
Marcus Hook, PA 19060
Phone (610) 358-6005

703 DeKalb St
Norristown, PA 19401
Phone (610) 619-8024

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

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

5501 Perkiomen Ave
Reading, PA 19606
Phone (610) 779-0600

100 Edella Rd
South Abington Township, PA 18411
Phone (570) 586-1002

30 West Ave
Wayne, PA 19087
Phone (610) 688-3235

800 W Miner St
West Chester, PA 19382
Phone (484) 920-6200

Organizations & group practices 2

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": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1760907992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 N BROAD ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461002",
            "telephone_number": "215-368-1900",
            "fax_number": "215-368-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 DEKALB STREET",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194013945",
            "telephone_number": "610-619-8024",
            "fax_number": "610-465-8714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1970 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Lansdale",
            "state": "PA",
            "postal_code": "194461002",
            "country_code": "US",
            "telephone_number": "215-368-1900",
            "fax_number": "215-368-8772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDO",
        "first_name": "MAUREEN",
        "middle_name": "LYNN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norristown, PA

Sources for this page

Verify at the official NPI Registry.