Individual provider Active NPI

Alysia J Sheaffer, CRNP

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1912299389
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP011268 Issued in PA
Practice address
1200 Callowhill St
Suite 101
Philadelphia, PA 19123-3658
Phone
(215) 825-8220
Fax
(215) 825-8254
NPI assigned
May 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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 SP011268 PA Primary

Addresses

Primary practice location

1200 Callowhill St
Suite 101
Philadelphia, PA 19123-3658

Mailing address

1500 Market Street
LM 500 West Tower
Philadelphia, PA 19120-2100
Phone (215) 985-2595

Other names 1

  • Alysia J Bruno 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
I20110613000138 PA Practitioner - Nurse Practitioner 3678750049 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merakey Total HealthGroup PAC ID 5890104897, 3 clinicians

Practice addresses (Care Compare)

27 E Mount Airy Ave
Philadelphia, PA 19119-1713
Phone (215) 248-6700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP011268PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Management Corporation CurrentSince Sep 17, 2015 Accepting new patients
Merakey Total Health CurrentSince Jun 1, 2025 Accepting new patients
Public Health Management Corporation CurrentSince Sep 17, 2015 Accepting new patients
Merakey Total Health CurrentSince Jun 1, 2025 Accepting new patients
Pma Medical Specialists Past Accepting new patients
Planned Parenthood Southeastern Pennsylvania Past Accepting new patients

Locations

620 Germantown Pike
Lafayette Hl, PA 19444
Phone (313) 278-2327

1500 Market St
Ste LM500
Philadelphia, PA 19102
Phone (215) 731-6150

27 E Mount Airy Ave
Philadelphia, PA 19119
Phone (215) 248-6700

5675 N Front St
Philadelphia, PA 19120
Phone (215) 224-0440

125 S 9th St
Philadelphia, PA 19107
Phone (215) 592-4500

1200 Callowhill St
Ste 101
Philadelphia, PA 19123
Phone (215) 825-8212

Interoperability endpoints

  • Direct secure messaging: alysia.sheaffer.p5@direct.bhplannedparenthood.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BCCGCD
  • Direct secure messaging: alysiasheaffer@nncc.allscriptsdirect.net

Organizations & group practices 6

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": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1912299389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MARKET STREET",
            "address_2": "LM 500 WEST TOWER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202100",
            "telephone_number": "215-985-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CALLOWHILL ST",
            "address_2": "SUITE 101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233658",
            "telephone_number": "215-825-8220",
            "fax_number": "215-825-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEAFFER",
        "first_name": "ALYSIA",
        "middle_name": "J",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-04",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP011268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSIA",
            "last_name": "BRUNO",
            "middle_name": "J",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.