Individual provider Active NPI

Nancy Conley, PA-C

  • Physician Assistant
  • Media, PA
National Provider Identifier
1790113587
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA056460 Issued in PA
Practice address
176 S New Middletown Rd Ste 203
Media, PA 19063-5255
Phone
(610) 566-7300
Fax
(610) 891-8973
NPI assigned
Oct 15, 2013
Last updated
Dec 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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 MA056460 PA Primary

Addresses

Primary practice location

176 S New Middletown Rd Ste 203
Media, PA 19063-5255

Mailing address

176 S New Middletown Rd Ste 203
Media, PA 19063-5255
Phone (610) 566-7300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nconley@directaddress.net

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
I20140103001240 PA Practitioner - Physician Assistant 6608004205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aesthetic Dermatology Associates PCGroup PAC ID 2466438148, 11 clinicians

Practice addresses (Care Compare)

176 S New Middletown Rd
Suite 203
Media, PA 19063-5255
Phone (610) 566-7300

4 Industrial Blvd
Suite 200
Paoli, PA 19301-1605
Phone (610) 647-4161

Merit-based Incentive Payment System (MIPS)

Final score
91.23 of 100Reported as group
Quality
100
Promoting interoperability
99
Improvement activities
40
Cost
71.59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA056460PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Immediate Medical Care of Pennsylvania, LP PastSince Jun 1, 2008 Accepting new patients
Aesthetic Dermatology Associates, PC PastSince Nov 26, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nconley@directaddress.net

Organizations & group practices 3

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": "1381795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1790113587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 S NEW MIDDLETOWN RD STE 203",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635255",
            "telephone_number": "610-566-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 S NEW MIDDLETOWN RD STE 203",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635255",
            "telephone_number": "610-566-7300",
            "fax_number": "610-891-8973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "NANCY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-15",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nconley@directaddress.net",
            "affiliation": "N",
            "address_1": "176 S New Middletown Rd Ste 203",
            "city": "Media",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190635255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.