Active NPI
Precious Pennachio, CRNP
- Adult Health Nurse Practitioner
- Allentown, PA
National Provider Identifier
1821700907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- SP026762
- Practice address
- 1250 S Cedar Crest Blvd
Allentown, PA 18103-6224 - Phone
- (610) 402-6890
- NPI assigned
- Dec 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | SP026762 | PA | Primary |
Addresses
Primary practice location
1250 S Cedar Crest Blvd
Allentown, PA 18103-6224
Mailing address
2100 Mack Blvd
Allentown, PA 18103-5622
Phone (484) 763-5486
Other names 1
- Precious Chishti
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230125003426 | PA | Practitioner - Nurse Practitioner | 4183095342 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1250 S Cedar Crest Blvd
310 LVPG Cardiac and Thoracic Surgery
Allentown, PA 18103-6381
Phone (610) 402-6890
Hospital & facility affiliations
- Lehigh Valley Hospital
- St Lukes Hospital
- Lehigh Valley Hospital - Macungie
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients |
Locations
1250 S Cedar Crest Blvd
Ste 310
Allentown, PA 18103
Phone (610) 402-6890
2100 Mack Blvd
Fl 4
Allentown, PA 18103
1250 S Cedar Crest Blvd
Allentown, PA 18103
Phone (610) 402-8420
2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892
Organizations & group practices 4
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.
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Hospital & facility affiliations 13
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": "1671494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1821700907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 MACK BLVD",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181035622",
"telephone_number": "484-763-5486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 S CEDAR CREST BLVD",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036224",
"telephone_number": "610-402-6890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNACHIO",
"first_name": "PRECIOUS",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-20",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP026762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PRECIOUS",
"last_name": "CHISHTI",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.