Individual provider Active NPI

Regina Edelev, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Doylestown, PA
National Provider Identifier
1891229654
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP024592 Issued in PA
Practice address
500 N West St
Doylestown, PA 18901-2366
Phone
(215) 345-5300
NPI assigned
Apr 18, 2017
Last updated
Dec 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP024592 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP024592 PA Primary
Registered Nurse 163W00000X RN661863 PA

Addresses

Primary practice location

500 N West St
Doylestown, PA 18901-2366

Mailing address

500 N West St
Doylestown, PA 18901-2366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220119002084 PA Practitioner - Nurse Practitioner 0547652885 Reassigns benefits to 1 organization
I20240327001707 WA Practitioner - Nurse Practitioner 0547652885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pursuit Mental Health and RecoveryGroup PAC ID 3870937196, 2 clinicians
Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Practice addresses (Care Compare)

22207 7TH Ave S
Des Moines, WA 98198-6221
Phone (206) 588-5251

8835 Germantown Ave
Phila, PA 19118-2718
Phone (215) 707-2098

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.21 of 100Reported as group
Quality
49.71
Promoting interoperability
100
Improvement activities
40
Cost
74.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN661863PAMDRegistered Nurse
SP024592PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Faculty Practice Plan, Inc CurrentSince Apr 2, 2024 Accepting new patients
Pursuit Mental Health and Recovery Multi-Specialty CurrentSince Feb 1, 2024 Accepting new patients
Temple Faculty Practice Plan Inc Multi-Specialty Current Accepting new patients

Locations

100 E Lehigh Ave
Philadelphia, PA 19125
Phone (215) 707-1200

1316 W Ontario St
Philadelphia, PA 19140
Phone (215) 707-2400

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

22207 7th Ave S
Des Moines, WA 98198
Phone (206) 588-5251

707 S Grady Way
Ste 600
Renton, WA 98057
Phone (206) 257-2987

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1891229654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N WEST ST",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N WEST ST",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012366",
            "telephone_number": "215-345-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELEV",
        "first_name": "REGINA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP024592",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP024592",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN661863",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.