Tara Lynn Verdolini, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP018538 Issued in PA

Practice address

1456 Ferry Road
Suite 600
Fountainville, PA 18923

Phone

(215) 230-8390

Fax

(215) 230-8392

NPI assigned

Dec 4, 2017

Last updated

Oct 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Via AffiliatesGroup PAC ID 1759295512, 180 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• At Home Rehab LLC Home health agency, Southampton, PA, CCN 397786
• Doylestown Hospital Visiting Nurse/HCD Home health agency, Doylestown, PA, CCN 397083
• Doylestown Hospital Hospital, Doylestown, PA, CCN 390203

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tara.verdolini@dhcp.eclinicaldirectplus.com

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.

• Via Affiliates

  dba Doylestown Health Vascular Surgery

  • Vascular Surgery Physician
  • Doylestown, PA
  • NPI 1003446261
  Medicare reassignment Care Compare group NPD
• Via Affiliates

  • Psychologist
  • Warrington, PA
  • NPI 1588489272
  NPD
• Via Affiliates

  • Internal Medicine Physician
  • Doylestown, PA
  • NPI 1902913338
  NPD

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

• At Home Rehab, L.L.C.

  • Home Health Agency
  • Southampton, PA
  • NPI 1720082290
  Care Compare affiliation
• Doylestown Hospital

  dba Doylestown Hospital Visiting Nurse/Home Care Department

  • Home Health Agency
  • Doylestown, PA
  • NPI 1073579900
  Care Compare affiliation
• Doylestown Hospital

  • General Acute Care Hospital
  • Doylestown, PA
  • NPI 1225091697
  Care Compare affiliation

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1760997563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 FERRY RD STE 600",
            "address_2": "DOYLESTOWN HEALTH INTERNAL MEDICINE FOUNTAINVILLE",
            "city": "FOUNTAINVILLE",
            "state": "PA",
            "postal_code": "18923",
            "telephone_number": "215-230-8390",
            "fax_number": "215-230-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 FERRY ROAD",
            "address_2": "SUITE 600",
            "city": "FOUNTAINVILLE",
            "state": "PA",
            "postal_code": "18923",
            "telephone_number": "215-230-8390",
            "fax_number": "215-230-8392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1939 W Cheltenham Ave",
            "address_purpose": "LOCATION",
            "city": "Elkins Park",
            "state": "PA",
            "postal_code": "190271046",
            "country_code": "US",
            "telephone_number": "215-884-5715",
            "fax_number": "215-884-1442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERDOLINI",
        "first_name": "TARA",
        "middle_name": "LYNN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-04",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP018538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer G Shoup, CRNP
• Elizabeth Z. Smyser, ED.M.
• Kathleen B Tapper, CRNA
• Kristin J Tatrow, PH.D.
• Melissa A Taylor, CRNP
• Margaret Welch, CRNP
• Katherine Marie West Mohr, CRNP
• Annie Yocum, PSY.D.
• Zeteo, PC

• Nurse Practitioner in Fountainville, PA
• Providers in Fountainville, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.