Individual provider Active NPI

Abigail S. Tyler, CRNP

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1821682154
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP023046 Issued in PA
Practice address
801 Washington Avenue
Philadelphia, PA 19147
Phone
(267) 519-9353
Fax
(276) 519-8120
NPI assigned
Feb 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP023046 PA Primary

Addresses

Primary practice location

801 Washington Avenue
Philadelphia, PA 19147

Mailing address

6600 Timra Cir
Bensalem, PA 19020-1925
Phone (215) 603-4513

Other names 1

  • Abigail S Stokes Professional name

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
I20210913003061 PA Practitioner - Nurse Practitioner 0648676874 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PA Post Acute Services PCGroup PAC ID 7911374905, 35 clinicians

Practice addresses (Care Compare)

1717 Skyline Dr
Pittsburgh, PA 15227-1744
Phone (877) 692-8351

905 Tower Rd
Bristol, PA 19007-3116
Phone (215) 785-3201

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
PA Post Acute Services PC CurrentSince May 17, 2024 Accepting new patients
Vansant Medicine, Inc CurrentSince May 28, 2021 Accepting new patients
Penn'S Rock Primary Care PastSince May 28, 2021 Accepting new patients

Locations

905 Tower Rd
Bristol, PA 19007
Phone (215) 785-2109

801 Washington Ave
Unit C
Philadelphia, PA 19147
Phone (215) 551-0200

2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000

1717 Skyline Dr
Pittsburgh, PA 15227
Phone (412) 881-6168

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25652/brand/1/csg/1/fhir/r4

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": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1821682154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 TIMRA CIR",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190201925",
            "telephone_number": "215-603-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 WASHINGTON AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19147",
            "telephone_number": "267-519-9353",
            "fax_number": "276-519-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "ABIGAIL",
        "middle_name": "S.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP023046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "STOKES",
            "middle_name": "S",
            "credential": "CRNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.