THOMAS PAUL MCNULTY (CRNP) – Family Nurse Practitioner, NPI 1730103508

THOMAS PAUL MCNULTY (CRNP) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. RN310329L (PA). The NPI Number for THOMAS PAUL MCNULTY (CRNP) is 1730103508

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS PAUL MCNULTY (CRNP)
NPI
1730103508
Phone
(215) 955-6844
Address
1020 SAMSON STREET
Enumeration Date
26 July 2006
Last Update Date
17 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4433839300
Graduation Year
1997 (29 years ago)
PAC ID
0345200671
Group Practice PAC ID
4880095637
Professional Enrollment ID
I20210319001844
Address ID
NJ076602108RI100XXRDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for THOMAS PAUL MCNULTY (CRNP)

  • 1020 SAMSON STREET

    SUITE 239

    PHILADELPHIA, PA 191075004

    Phone: (215) 955-6844

    Fax: (215) 955-2526

    Type: Mailing

  • 600 CLEMENTS BRIDGE RD

    BARRINGTON, NJ 080071814

    Phone: (856) 547-8000

    Fax: (856) 547-1008

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-11-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 7 Medicare enrollment records; no due dates published yet.

Enrollment records

7

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
I20041012000937INurse PractitionerPATBD
I20161019000667INurse PractitionerDETBD
I20190703001217INurse PractitionerOHTBD
I20191010002836INurse PractitionerNYTBD
I20200114002692INurse PractitionerMDTBD
I20210319001844INurse PractitionerNJTBD
I20221101003363INurse PractitionerWVTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes832324$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes349208$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes158158$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes10265$0
17250Application of chemical to stop tissue regrowth in wound5917$0
View full utilization report →

Insurance plans in this area (ZIP 19107)

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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: 4880095637View full group profile
NameSpecialtyState
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerMD
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Physical Therapist In Private PracticeCA
Nurse PractitionerNJ

Reviews

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Frequently asked questions

Does THOMAS PAUL MCNULTY (CRNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — THOMAS PAUL MCNULTY (CRNP) uses 1730103508.
Does the file indicate THOMAS PAUL MCNULTY (CRNP) is practicing under active NPI?
Directory data currently reports THOMAS PAUL MCNULTY (CRNP) as active.
What is THOMAS PAUL MCNULTY (CRNP)'s primary classification?
Family Nurse Practitioner is the headline specialty for THOMAS PAUL MCNULTY (CRNP) here. Clinical services aligned with this taxonomy classification.
Where is THOMAS PAUL MCNULTY (CRNP) based?
THOMAS PAUL MCNULTY (CRNP) is tied to Philadelphia, Pennsylvania in the data we show; additional addresses may exist on the full record.
Why does THOMAS PAUL MCNULTY (CRNP) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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