Individual provider Active NPI

Shreya Patel, CRNP

  • Nurse Practitioner
  • Blue Bell, PA
National Provider Identifier
1801772595
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP033586 Issued in PA
Practice address
676 Dekalb Pike Ste 104
Blue Bell, PA 19422-1223
Phone
(215) 997-9441
NPI assigned
Aug 15, 2025
Last updated
Aug 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP033586 PA Primary

Addresses

Primary practice location

676 Dekalb Pike Ste 104
Blue Bell, PA 19422-1223

Mailing address

3330 Cora LN
Souderton, PA 18964-2621
Phone (267) 638-8311

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
I20251112001131 PA Practitioner - Nurse Practitioner 7416448055 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians
Fornance Physician Services IncGroup PAC ID 8527962661, 105 clinicians

Practice addresses (Care Compare)

50 E Township Line Rd
Medical Arts BLDG 2ND Floor
Elkins Park, PA 19027-2220
Phone (215) 663-6067

676 Dekalb Pike
Suite 104
Blue Bell, PA 19422-1223
Phone (215) 997-9441

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP033586PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fornance Physician Services, Inc Current Accepting new patients
Fornance Physician Services, Inc CurrentSince Oct 1, 2025 Accepting new patients
Fornance Physician Services, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Fornance Physician Services, Inc. Past Accepting new patients

Locations

676 DeKalb Pike
Ste 104
Blue Bell, PA 19422
Phone (215) 997-9441

210 Mall Blvd
Ste G03
King of Prussia, PA 19406
Phone (610) 233-3699

15 W Wood St
Ste 301
Norristown, PA 19401
Phone (610) 275-5958

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, 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": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1801772595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 CORA LN",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189642621",
            "telephone_number": "267-638-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 DEKALB PIKE STE 104",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221223",
            "telephone_number": "215-997-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHREYA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP033586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

Verify at the official NPI Registry.