Active NPI
Michael Anthony Wortell, MSN, FNP-BC
- Family Nurse Practitioner
- Doylestown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP01126
- Practice address
- 595 W State St
Doylestown, PA 18901-2554 - Phone
- (215) 534-3164
- NPI assigned
- Jul 29, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP01126 | PA | Primary |
Addresses
Primary practice location
595 W State St
Doylestown, PA 18901-2554
Mailing address
201 Murray Dr
Doylestown, PA 18901-3316
Phone (215) 534-3164
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP021196 | Other | PA | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Jefferson Medical College of Thomas Jefferson University, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11915 Georgia Ave
Wheaton, MD 20902-2065
Phone (301) 942-4505
18045 Georgia Ave
Olney, MD 20832-2237
Phone (301) 774-8026
3064 Waldorf Market PL
Waldorf, MD 20603-4871
Phone (301) 932-5960
3350 Crain Hwy
Waldorf, MD 20603-4850
Phone (443) 584-5787
37767 Market Dr
Charlotte Hall, MD 20622-3188
Phone (301) 290-1499
45870 E Run Dr
Lexington Park, MD 20653-4362
Phone (240) 895-8630
500 Charles St
La Plata, MD 20646-5931
Phone (410) 451-1800
6317 York Rd
Baltimore, MD 21212-2310
Phone (443) 777-6890
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP01126 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Urgent Care, LLC | Current | Accepting new patients | |
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| Peace Valley Internal Medicine PC | Current | Accepting new patients | |
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| Medstar Urgent Care LLC | Current | Accepting new patients |
Locations
3007 Tilden St NW
Ste 5N
Washington, DC 20008
6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890
3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960
11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505
5039 Swamp Rd
Fountainville, PA 18923
5039 Swamp Rd
Ste 401
Fountainville, PA 18923
Phone (215) 230-8380
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.
-
- Urgent Care Clinic/Center
- Baltimore, MD
- NPI 1902175870
-
- Internal Medicine Physician
- Fountainville, PA
- NPI 1578658928
-
- General Practice Physician
- Lexington Park, MD
- NPI 1275410474
-
- Urgent Care Clinic/Center
- Baltimore, MD
- NPI 1942623319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595980800000",
"number": "1932718582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 MURRAY DR",
"city": "DOYLESTOWN",
"state": "PA",
"postal_code": "189013316",
"telephone_number": "215-534-3164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 W STATE ST",
"city": "DOYLESTOWN",
"state": "PA",
"postal_code": "189012554",
"telephone_number": "215-534-3164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORTELL",
"first_name": "MICHAEL",
"middle_name": "ANTHONY",
"credential": "MSN, FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-29",
"last_updated": "2020-07-29",
"certification_date": "2020-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP01126",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "SP021196",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Doylestown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.