Individual provider Active NPI

Michelle Anne Loftus, FNP-C

  • Family Nurse Practitioner
  • Kennett Square, PA
National Provider Identifier
1952992950
Registry record updated Apr 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP023266 Issued in PA
Practice address
731 W. Cyprus Street
Kennett Square, PA 19348
Phone
(610) 444-7550
NPI assigned
Feb 1, 2021
Last updated
Apr 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN1028858 DC
Family Nurse Practitioner 363LF0000X SP023266 PA Primary

Addresses

Primary practice location

731 W. Cyprus Street
Kennett Square, PA 19348

Mailing address

731 W Cypress St
Kennett Square, PA 19348-2419
Phone (610) 444-7550

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Athena Health Information Exchange (HIE)

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
I20211001000527 PA Practitioner - Nurse Practitioner 2466850656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14 S 3Rd St
Oxford, PA 19363-1601
Phone (610) 444-7550

731 W Cypress St
Kennett Square, PA 19348-2419
Phone (610) 444-7550

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN1028858DCMDRegistered Nurse
SP023266PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LCH Health and Community Services CurrentSince Sep 23, 2021 Accepting new patients
LCH Health and Community Services CurrentSince Sep 23, 2021 Accepting new patients
LCH Health and Community Services Current Accepting new patients
LCH Health and Community Services Past Accepting new patients

Locations

731 W Cypress St
Kennett Square, PA 19348
Phone (610) 444-7550

14 S 3rd St
Oxford, PA 19363
Phone (610) 444-7550

105 Vineyard Way
Ste 200
West Grove, PA 19390
Phone (610) 345-0020

Interoperability endpoints

  • Direct secure messaging: michelle.loftus.1@27280.direct.athenahealth.com

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, 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": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650067200000",
    "number": "1952992950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 W CYPRESS ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193482419",
            "telephone_number": "610-444-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 W. CYPRUS STREET",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "19348",
            "telephone_number": "610-444-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFTUS",
        "first_name": "MICHELLE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2022-04-16",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1028858",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP023266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Athena",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "731 W Cypress St",
            "city": "Kennett Square",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193482419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kennett Square, PA

Sources for this page

Verify at the official NPI Registry.