Individual provider Active NPI

Helen Marie Carmine, MSN, CRNP,CRRN

  • Adult Health Nurse Practitioner
  • Paoli, PA
National Provider Identifier
1811042328
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
TP000989C Issued in PA
Practice address
16 Industrial Blvd
Paoli, PA 19301-1609
Phone
(484) 595-9300
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X TP000989C PA Primary

Addresses

Primary practice location

16 Industrial Blvd
Paoli, PA 19301-1609

Mailing address

1189 Fielding Dr
West Chester, PA 19382-7233
Phone (610) 455-1677

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
I20240828003200 PA Practitioner - Nurse Practitioner 9739310517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4015 Chichester Ave
Upper Chichester, PA 19061-3138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
TP000989CPAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Joel S. Goldberg Past Accepting new patients

Organizations & group practices 2

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221609600000",
    "number": "1811042328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1189 FIELDING DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193827233",
            "telephone_number": "610-455-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 INDUSTRIAL BLVD",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011609",
            "telephone_number": "484-595-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMINE",
        "first_name": "HELEN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSN, CRNP,CRRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "TP000989C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.