Individual provider Active NPI

Megan Eileen Lettieri, CRNP

  • Critical Care Medicine Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1861598831
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
UP006672U Issued in PA
Practice address
700 Spruce St
Ste. 304
Philadelphia, PA 19106-4022
Phone
(215) 829-3521
Fax
(215) 829-3532
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X UP006672U PA Primary

Addresses

Primary practice location

700 Spruce St
Ste. 304
Philadelphia, PA 19106-4022

Mailing address

700 Spruce St
Ste. 304
Philadelphia, PA 19106-4022
Phone (215) 829-3521

Other names 1

  • Megan Eileen Carr Former 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
I20070713000172 PA Practitioner - Nurse Practitioner 7618077033 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Perelman School of Med at the University of Pennsylvania, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

3400 Civic Ctr Blvd 1St
Harron Lung Pcam
Philadelphia, PA 19104-4306
Phone (215) 662-3202

3400 Civic Ctr Blvd W Pavillion
4 Penn Diabetic Kidney Disease Perelman
Philadelphia, PA 19104-5134
Phone (215) 662-2638

3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-7772

3400 Spruce St
FL 3
Philadelphia, PA 19104-4229
Phone (215) 662-3202

3535 Market St
Philadelphia, PA 19104-3362

3549 Chestnut St
FL 9
Philadelphia, PA 19104-3361
Phone (215) 662-7772

3624 Market St
FL 2
Philadelphia, PA 19104-5803
Phone (215) 662-7772

3737 Market St
FL 10
Philadelphia, PA 19104-5545
Phone (215) 662-8766

51 N 39TH St 1St FL Phi
Pulmomary Med PPMC
Philadelphia, PA 19104-2640
Phone (215) 662-8766

51 N 39TH St HVP 2ND FL
Pulmonary Dysp PPMC
Philadelphia, PA 19104-2640
Phone (215) 662-8888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Sep 13, 2014 Accepting new patients
University of Penn - Medical Group CurrentSince Jul 1, 2007 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2007 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Sep 13, 2014 Accepting new patients

Locations

3400 Spruce St
Fl 9
Philadelphia, PA 19104
Phone (215) 662-2891

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

700 Spruce St
Ste 304
Philadelphia, PA 19106
Phone (215) 829-3521

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

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.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1861598831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SPRUCE ST",
            "address_2": "STE. 304",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064022",
            "telephone_number": "215-829-3521",
            "fax_number": "215-829-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SPRUCE ST",
            "address_2": "STE. 304",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064022",
            "telephone_number": "215-829-3521",
            "fax_number": "215-829-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETTIERI",
        "first_name": "MEGAN",
        "middle_name": "EILEEN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "PA",
            "license": "UP006672U",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "CARR",
            "middle_name": "EILEEN",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.