Individual provider Active NPI

Anita Mammarella, CRNP

  • Acute Care Nurse Practitioner
  • Reading, PA
National Provider Identifier
1801367578
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP019693 Issued in PA
Practice address
2500 Bernville Rd Ste 207
Reading, PA 19605-9453
Phone
(610) 378-2676
Fax
(610) 378-2679
NPI assigned
Dec 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X SP019693 PA Primary

Addresses

Primary practice location

2500 Bernville Rd Ste 207
Reading, PA 19605-9453

Mailing address

28 High View LN
Mertztown, PA 19539-9727
Phone (610) 349-6937

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
I20190524000053 PA Practitioner - Nurse Practitioner 8022351576 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reading HospitalGroup PAC ID 7618886490, 179 clinicians

Practice addresses (Care Compare)

1320 Broadcasting Rd
Wyomissing, PA 19610-3222
Phone (610) 375-6565

206 S 6TH Ave
West Reading, PA 19611-1411
Phone (484) 628-5437

301 S 7TH Ave
Suite 2020
West Reading, PA 19611-1495
Phone (610) 375-6565

31 Industrial Dr
Suite 150
Hamburg, PA 19526-8779
Phone (610) 375-6565

420 S 5TH Ave
West Reading, PA 19611-2143

420 S 5TH Ave BLDG N
West Reading, PA 19611-2143

Hospital & facility affiliations

  • Reading Hospital Hospital, West Reading, PA, CCN 390044
  • Pottstown Hospital Hospital, Pottstown, PA, CCN 390123
  • Penn State Health St. Joseph Hospital, Reading, PA, CCN 390096
  • Wellspan Good Samaritan Hospital Hospital, Lebanon, PA, CCN 390066

Merit-based Incentive Payment System (MIPS)

Final score
88.1 of 100Reported as group
Quality
77.19
Promoting interoperability
98
Improvement activities
40
Cost
79.03

Merit-based Incentive Payment System (MIPS)

Final score
84.71 of 100Reported as group
Quality
73.34
Promoting interoperability
97
Improvement activities
40
Cost
78.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP019693PAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reading Hospital CurrentSince May 1, 2024 Accepting new patients
Reading Hospital CurrentSince May 1, 2024 Accepting new patients
Tower Health Medical Group CurrentSince Mar 9, 2020 Accepting new patients
Tower Health Medical Group CurrentSince Mar 9, 2020 Accepting new patients
Tower Health Medical Group Current Accepting new patients
Reading Hospital Current Accepting new patients
Reading Professional Services Past Accepting new patients

Locations

31 Industrial Dr
Ste 150
Hamburg, PA 19526
Phone (610) 376-8671

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

301 S 7th Ave
Ste 2020
West Reading, PA 19611

206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437

1320 Broadcasting Rd
Ste 107
Wyomissing, PA 19610
Phone (484) 628-0319

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

1320 Broadcasting Rd
Ste 100
Wyomissing, PA 19610

Organizations & group practices 7

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 12

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": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1801367578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 HIGH VIEW LN",
            "city": "MERTZTOWN",
            "state": "PA",
            "postal_code": "195399727",
            "telephone_number": "610-349-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 BERNVILLE RD STE 207",
            "city": "READING",
            "state": "PA",
            "postal_code": "196059453",
            "telephone_number": "610-378-2676",
            "fax_number": "610-378-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMMARELLA",
        "first_name": "ANITA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP019693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.