MRS. AUDREY DIANE SCANLON (CRNP) – Nurse Practitioner, NPI 1043721616

MRS. AUDREY DIANE SCANLON (CRNP) is a healthcare provider. based in Bensalem, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. RN606753 (PA). The NPI Number for MRS. AUDREY DIANE SCANLON (CRNP) is 1043721616

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AUDREY DIANE SCANLON (CRNP)
NPI
1043721616
Phone
(800) 321-9999
Address
3300 Tillman Dr Fl 2
Enumeration Date
23 October 2017
Last Update Date
3 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6104897703
Graduation Year
2017 (9 years ago)
PAC ID
9436418951
Group Practice PAC ID
3678480290
Professional Enrollment ID
I20180301000760
Address ID
PA194263613CO201XXAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for MRS. AUDREY DIANE SCANLON (CRNP)

  • 3300 Tillman Dr Fl 2

    Bensalem, PA 190202071

    Phone: (800) 321-9999

    Fax: (215) 642-3597

    Type: Location

  • 999 Route 73 N Ste 401

    Marlton, NJ 080531227

    Phone: (800) 321-9999

    Fax: (856) 821-6359

    Type: Location

  • 925 Chestnut St Fl 5

    Philadelphia, PA 191074206

    Phone: (800) 321-9999

    Fax: (215) 503-0568

    Type: Location

  • Bethlehem Pike, Flourtown, Springfield Township, Montgomery County, Pennsylvania, 19031, United States

    FLOURTOWN, PA 19031

    Phone: (215) 884-9959

    Type: Location

  • Willow Grove, Worcester County, Maryland, United States

    WILLOW GROVE, PA 190901225

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 71 Open Payments records for all available years, with a total value of $1,419.

Total Amount is formed as General ($1,419) + Research ($0) + Ownership ($0) = $1,419.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($271).

Total Amount

$1,419

General + Research + Ownership

Payments

71

Total payment records

General Amount

$1,419

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-01-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180109000452INurse PractitionerPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes11180$0
99213Established patient office or other outpatient visit, 20-29 minutes10083$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6161$0
36415Insertion of needle into vein for collection of blood sample3630$0
81002Urinalysis, manual test2322$0
View full utilization report →

Insurance plans in this area (ZIP 19020)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678480290View full group profile
NameSpecialtyState
Family PracticePA
Family PracticeMN
Orthopedic SurgeryPA
Orthopedic Surgery, Sports MedicinePA
Physical Therapist In Private PracticeMN
P O D I A T R YDE
-MN
Family PracticePA
-PA
Family PracticeMN

Reviews

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Frequently asked questions

Does MRS. AUDREY DIANE SCANLON (CRNP) have a public NPI I can cite?
Public records show MRS. AUDREY DIANE SCANLON (CRNP) under NPI 1043721616.
Quick check: is MRS. AUDREY DIANE SCANLON (CRNP) active?
Public NPPES data shows MRS. AUDREY DIANE SCANLON (CRNP) with an active NPI status right now.
What type of care does MRS. AUDREY DIANE SCANLON (CRNP) provide?
MRS. AUDREY DIANE SCANLON (CRNP)'s profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. AUDREY DIANE SCANLON (CRNP)?
MRS. AUDREY DIANE SCANLON (CRNP) shows a connection to Bensalem, Pennsylvania in registry-derived data.
Can I export MRS. AUDREY DIANE SCANLON (CRNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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