Individual provider Active NPI

Larena Robinson, NP

  • Gerontology Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1801577457
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP027459 Issued in PA
Practice address
1200 Callowhill St Ste 101
Philadelphia, PA 19123-3658
Phone
(215) 825-8220
NPI assigned
Jul 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X SP027459 PA Primary

Addresses

Primary practice location

1200 Callowhill St Ste 101
Philadelphia, PA 19123-3658

Mailing address

12 Crawford Dr
Sicklerville, NJ 08081-4416
Phone (267) 249-4906

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
I20240219003270 PA Practitioner - Nurse Practitioner 7618311598 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Public Health Management CorporationGroup PAC ID 1850307406, 30 clinicians

Practice addresses (Care Compare)

1200 Callowhill St
Suite 101
Philadelphia, PA 19123-3658
Phone (215) 825-8220

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Management Corporation Current Accepting new patients
Public Health Management Corporation CurrentSince Jan 7, 2024 Accepting new patients
Public Health Management Corporation CurrentSince Jan 7, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Mar 10, 2025 Accepting new patients
Public Health Mangement Corporation Past Accepting new patients

Locations

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

216 W Somerset St
Philadelphia, PA 19133
Phone (215) 763-8870

1200 Callowhill St
Ste 101
Philadelphia, PA 19123
Phone (215) 825-8212

501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046

5675 N Front St
Philadelphia, PA 19120
Phone (215) 224-0440

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1801577457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CRAWFORD DR",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080814416",
            "telephone_number": "267-249-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CALLOWHILL ST STE 101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233658",
            "telephone_number": "215-825-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "LARENA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP027459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.