MRS. CHRISTINE NIERODA CLANCY (CRNP) – Gerontology Nurse Practitioner, NPI 1487677084

MRS. CHRISTINE NIERODA CLANCY (CRNP) is a healthcare provider. based in Bala cynwyd, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. VP004645C (PA). The NPI Number for MRS. CHRISTINE NIERODA CLANCY (CRNP) is 1487677084

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CHRISTINE NIERODA CLANCY (CRNP)
NPI
1487677084
Phone
(215) 503-3838
Address
225 E City Ave
Enumeration Date
25 July 2006
Last Update Date
25 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2159558430
Graduation Year
1997 (29 years ago)
PAC ID
1658311717
Group Practice PAC ID
7911819180
Professional Enrollment ID
I20050509000165
Address ID
PA191076810PH211XXSTXX407
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for MRS. CHRISTINE NIERODA CLANCY (CRNP)

  • 225 E City Ave

    Suite 109

    Bala Cynwyd, PA 190041704

    Phone: (215) 503-3838

    Fax: (610) 664-2945

    Type: Location

  • 211, South 9th Street, Bella Vista, South Philadelphia, Philadelphia, Philadelphia County, Pennsylvania, 19107, United States

    SUITE 600

    PHILADELPHIA, PA 191076810

    Phone: (215) 955-1925

    Fax: (215) 928-3160

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $815.

Total Amount is formed as General ($815) + Research ($0) + Ownership ($0) = $815.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Abbott Laboratories ($194).

Total Amount

$815

General + Research + Ownership

Payments

25

Total payment records

General Amount

$815

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2005-05-09

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
I20050509000165INurse 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 minutes292127$0
95251Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report13053$0
99213Established patient office or other outpatient visit, 20-29 minutes3937$0
View full utilization report →

Insurance plans in this area (ZIP 19004)

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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: 7911819180View full group profile

Reviews

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Frequently asked questions

What identifier follows MRS. CHRISTINE NIERODA CLANCY (CRNP) across health systems?
The NPI 1487677084 uniquely identifies MRS. CHRISTINE NIERODA CLANCY (CRNP) in U.S. healthcare data.
Should I treat MRS. CHRISTINE NIERODA CLANCY (CRNP) as an active provider?
Patients and plans typically see MRS. CHRISTINE NIERODA CLANCY (CRNP) as active in the national extract.
Which specialty label fits MRS. CHRISTINE NIERODA CLANCY (CRNP)?
NPPES ties MRS. CHRISTINE NIERODA CLANCY (CRNP) to Gerontology Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. CHRISTINE NIERODA CLANCY (CRNP)?
MRS. CHRISTINE NIERODA CLANCY (CRNP) shows a connection to Bala Cynwyd, Pennsylvania in registry-derived data.
Who maintains MRS. CHRISTINE NIERODA CLANCY (CRNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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