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ANNETTE M SEXTON CRNP
NPI 1154826337
Nurse Practitioner - Acute Care in Paoli, PA

Active since March 28, 2018PECOS EnrolledAccepts Medicare Assignment
21 INDUSTRIAL BLVD, STE 205, PAOLI, PA 19301(610) 284-8500 Get Directions Write a Review

NPPES record last updated: October 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2019, May 24, 2019, Mar 28, 2018 (3 updates tracked since 2018).

About Annette M Sexton Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNETTE M SEXTON CRNP (NPI 1154826337) is an individual acute care provider in Paoli, Pennsylvania, licensed in Pennsylvania (SP018090) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Paoli Hospital, and maintains a secondary practice location in Drexel Hill.

NPPES Registry Identity

NPI1154826337
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameANNETTE M SEXTONCredential: CRNP
Location Address21 INDUSTRIAL BLVD, STE 205Paoli, PA 19301-1610
Mailing Address21 Industrial Blvd, Ste 205Paoli, PA 19301-1610 · (610) 284-8500
Phone(610) 284-8500
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 28, 2018
Last NPPES UpdateOctober 9, 20193 updates tracked since enumeration
✔ NPI 1154826337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in PA · SP018090
21 INDUSTRIAL BLVD, Paoli, PA 19301
Open in Google Maps ↗

Secondary Practice Location 1

Location 1501 N Lansdowne AveDrexel Hill, PA 19026-1114 · Phone (610) 284-8500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Annette M Sexton Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406190610
PECOS Enrollment IDI20181128003499
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
113 services80 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
52 services52 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
26 services26 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
15 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMIE L DILLINGER C.R.N.P.
Nurse Practitioner (Family)
21 INDUSTRIAL BLVD, SUITE 101
PAOLI, PA 19301
Chester County (610) 251-0300
PAOLI MEDICAL CONSULTANTS LLC
Internal Medicine
21 INDUSTRIAL BLVD, SUITE 101
PAOLI, PA 19301
Chester County (610) 648-9330
MICHAEL EDMOND THERIAULT M.D.
Psychiatry & Neurology (Neurology)
21 INDUSTRIAL BLVD
PAOLI, PA 19301
Chester County (610) 647-8000
KRISTOPHER ERICK MEDINA
Nurse Practitioner (Family)
21 INDUSTRIAL BLVD, SUITE 205
PAOLI, PA 19301
Chester County (610) 647-8000
NEURO CARE ASSOCIATES, INC.
Psychiatry & Neurology (Neurology)
21 INDUSTRIAL BLVD, SUITE 205
PAOLI, PA 19301
Chester County (610) 647-8000
PHILIP A ADELMAN MD
Psychiatry & Neurology (Neurology)
21 INDUSTRIAL BLVD, SUITE 205
PAOLI, PA 19301
Chester County (610) 647-8000
STEPHEN CARY FOX M.D., FACP
Internal Medicine (Hematology & Oncology)
21 INDUSTRIAL BLVD, SUITE 204
PAOLI, PA 19301
Chester County (610) 647-2747
MARILYN RYAN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
21 INDUSTRIAL BLVD, SUITE #21
PAOLI, PA 19301
Chester County (610) 251-0300

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 Annette Sexton's NPI number?

The NPI number for Annette Sexton is 1154826337. It was assigned to this individual provider in the NPPES registry on March 28, 2018.

Where is Annette Sexton located?

Annette Sexton practices at 21 Industrial Blvd Ste 205, Paoli, PA 19301. The listed phone number is (610) 284-8500.

What is Annette Sexton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Annette Sexton enrolled in Medicare?

Yes. Annette Sexton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Annette Sexton accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Annette Sexton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Annette Sexton affiliated with any hospitals?

According to CMS data, Annette Sexton is affiliated with Paoli Hospital.

When was this NPI record last updated?

The NPPES record for Annette Sexton was last updated on October 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.