AVANTA PRIMARY CARE, P.C.
NPI 1104763861
Nurse Practitioner - Family in Horsham, PA
About Avanta Primary Care, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVANTA PRIMARY CARE, P.C. (NPI 1104763861) is a healthcare organization registered as a family in Horsham, Pennsylvania and active in the NPI registry since April 2026. The organization lists Alena Blain, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Avanta Primary Care, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Avanta Primary Care, P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Avanta Primary Care, P.C.'s NPI number?
The NPI number for Avanta Primary Care, P.C. is 1104763861. It was assigned to this organization in the NPPES registry on April 30, 2026.
Where is Avanta Primary Care, P.C. located?
Avanta Primary Care, P.C. is located at 300 Welsh Rd Ste 100, Horsham, PA 19044. The listed phone number is (267) 703-5900.
What is Avanta Primary Care, P.C.'s specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Avanta Primary Care, P.C. enrolled in Medicare?
Yes. Avanta Primary Care, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Avanta Primary Care, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Avanta Primary Care, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Avanta Primary Care, P.C. was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Avanta Primary Care, P.c. · NPI 1104763861
Family organization in Horsham, Pennsylvania. Organization record, active in the CMS NPPES registry since April 30, 2026.
## Identity
- **NPI:** 1104763861 (Entity type: Organization)
- **Enumerated:** April 30, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Alena Blain, OWNER
## Practice location
- **Address:** 300 WELSH RD STE 100, Horsham, PA 19044-2248
- **Phone:** (267) 703-5900 · **Fax:** (267) 703-2671
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104763861) · Data from the CMS NPPES public registry.