Anna Pagano, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Southampton, PA. Individual provider (NPI-1).
NPI number1497907679
StatusActive
Last updated in NPPESOct 9, 2019
Details
- NPI
- 1497907679
- Entity type
- Individual (NPI-1)
- Name
- Anna Pagano
- Credential
- PMHNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 19, 2008
- Last updated
- Oct 9, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- Medicare opt-out
- Mar 7, 2024 to Mar 7, 2028
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | SP020859 | PA | Yes |
| 163W00000X | Registered Nurse | RN537232 | PA | |
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | 2007002133-03 | PA |
Practice location
506 Lakeside ParkSouthampton, PA 18966
Phone 215-364-1400
Mailing address
506 Lakeside ParkSouthampton, PA 18966-4078
Phone 215-364-1400
Other practice locations
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Other Psychiatric/Mental Health Nurse Practitioner providers in Southampton, PA
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