NPIMap

Individual provider Active NPI

Coleen Sommers Acevedo, CRNP

  • Nurse Practitioner
  • West Reading, PA
National Provider Identifier
1962584318
Registry record updated May 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
UP005457-B Issued in PA
Practice address
301 South Seventh Ave
Suite #340
West Reading, PA 19611
Phone
(610) 988-4260
Fax
(610) 988-4261
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RN1350942L PA
Nurse Practitioner 363L00000X UP005457-B PA Primary

Addresses

Primary practice location

301 South Seventh Ave
Suite #340
West Reading, PA 19611

Mailing address

PO Box 13579
Reading, PA 19612-3579

Other identifiers 1

IdentifierTypeStateIssuer
102201234MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040216000816 PA Practitioner - Nurse Practitioner 2264327667 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Reading HospitalGroup PAC ID 7618886490, 179 clinicians

Practice addresses (Care Compare)

1001 Reed Ave
Suite 402
Wyomissing, PA 19610-2030
Phone (484) 628-4270

Hospital & facility affiliations

  • Reading Hospital Hospital, West Reading, PA, CCN 390044

Merit-based Incentive Payment System (MIPS)

Final score
88.1 of 100Reported as group
Quality
77.19
Promoting interoperability
98
Improvement activities
40
Cost
79.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN1350942LPAMDFamily Medicine Physician
UP005457-BPAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Medical Group CurrentSince Apr 1, 2008 Accepting new patients
Tower Health Medical Group CurrentSince Apr 1, 2008 Accepting new patients
Reading Hospital Current Accepting new patients
Reading Hospital CurrentSince Sep 1, 2023 Accepting new patients
Tower Health Medical Group Family Medicine Current Accepting new patients
Reading Hospital CurrentSince Sep 1, 2023 Accepting new patients
Reading Professional Services Past Accepting new patients

Locations

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437

301 S 7th Ave
Ste 340
West Reading, PA 19611
Phone (484) 628-8480

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

1991 State Hill Rd
Wyomissing, PA 19610
Phone (484) 628-4270

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

1001 Reed Ave
Ste 402
Wyomissing, PA 19610
Phone (484) 628-4270

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 6

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1962584318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SOUTH SEVENTH AVE",
            "address_2": "SUITE #340",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "19611",
            "telephone_number": "610-988-4260",
            "fax_number": "610-988-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "COLEEN",
        "middle_name": "SOMMERS",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "RN1350942L",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "UP005457-B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102201234",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Reading, PA

Sources for this page

Verify at the official NPI Registry.