Individual provider Active NPI

Rebecca Dunn, MSN,CRNP

  • Nurse Practitioner
  • Wynnewood, PA
National Provider Identifier
1952925414
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP021109 Issued in PA
Practice address
100 E Lancaster Ave Ste 330
Wynnewood, PA 19096-3443
Phone
(610) 645-6555
NPI assigned
Jun 1, 2020
Sex
Female
Sole proprietor
No

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP021109 PA Primary

Addresses

Primary practice location

100 E Lancaster Ave Ste 330
Wynnewood, PA 19096-3443

Mailing address

3803 W Chester Pike Ste 160
Newtown Square, PA 19073-2336
Phone (484) 377-1667

Other practice location 1

860 1st Ave Ste 3
King Of Prussia, PA 19406-4033
Phone (610) 265-2150

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
I20230727001319 PA Practitioner - Nurse Practitioner 5092176776 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

1020 Baltimore Pike
Suite 310
Glen Mills, PA 19342-1343
Phone (610) 565-8564

3701 Market St
Philadelphia, PA 19104-5502
Phone (215) 662-2250

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP021109PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of the University of Pennsylvania CurrentSince Sep 29, 2025 Accepting new patients
Main Line Healthcare Nurse Practitioner CurrentSince May 10, 2023 Accepting new patients
Penna Oral & Maxillofacial Surgery PastSince Jun 1, 2020 Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

1020 Baltimore Pike
Ste 310
Glen Mills, PA 19342
Phone (484) 227-7532

3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530

3701 Market St
Fl 1
Philadelphia, PA 19104
Phone (215) 662-2250

100 E Lancaster Ave
Ste 330
Wynnewood, PA 19096
Phone (610) 645-6555

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1952925414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 W CHESTER PIKE STE 160",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732336",
            "telephone_number": "484-377-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE STE 330",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963443",
            "telephone_number": "610-645-6555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "860 1st Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "King Of Prussia",
            "state": "PA",
            "postal_code": "194064033",
            "country_code": "US",
            "telephone_number": "610-265-2150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNN",
        "first_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "MSN,CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP021109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

Verify at the official NPI Registry.