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Active NPI 1770291882 Individual Practitioner Female Practitioner

Carly Macker , CRNP

Nurse Practitioner - Pediatrics • Darby, PA

Professional Overview & Biography Verified Profile Summary

Carly Macker, CRNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Darby, PA. Practice services are available at 1503 LANSDOWNE AVE STE 3002 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1503 Lansdowne Ave Ste 3002

Darby, PA 190231308

Telephone 6102374995
Associated Practice Facility / Clinic
🏢 Mercy Pediatric Associates Pc Facility NPI 1417922782

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Darby, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Darby, PA (1161 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-05-01
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License PA SP026546

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Christine Smith , CRNP

Nurse Practitioner - Family

NPI 1083487136

Certified Registered Nurse Practitioner

Jennifer Laviola , CRNP

Nurse Practitioner - Family

NPI 1114752748

Certified Registered Nurse Practitioner

NPI 1164497947

Doctor of Medicine (M.D.)

NPI 1528027406

Doctor of Medicine (M.D.)

NPI 1790126647

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated May 01, 2023

Recorded as CARLY MACKER, CRNP

NPI Profile Active November 08, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location November 08, 2022

Registered at 1503 LANSDOWNE AVE STE 3002, DARBY, PA 190231308 (Tel: 6102374995)

📍
Updated Business Mailing Address November 08, 2022

Registered at 1714 LATONA ST, PHILADELPHIA, PA 191463028 (Tel: 3047949568)

👤
Provider Name / Credentials Updated November 08, 2022

Recorded as CARLY BRUNO, CRNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2022

Nurse Practitioner (License #SP026546 in PA)

🟢
Initial NPI Registration & Enumeration November 08, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770291882
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2022
Last Update: May 01, 2023
Sole Proprietor: No

Mailing Address

1714 Latona St

Philadelphia, PA 191463028

Phone: 3047949568

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.