THERESE VIVAS CRNP
NPI 1477389435
Nurse Practitioner - Gerontology in Bryn Mawr, PA
About Therese Vivas Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESE VIVAS CRNP (NPI 1477389435) is an individual gerontology provider in Bryn Mawr, Pennsylvania, licensed in Pennsylvania (SP030615) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Bryn Mawr Hospital, and is a graduate of Drexel University College Of Medicine (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Therese Vivas 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.
Medicare Billing Reassignment
Medicare enrollment records show Therese Vivas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
King Of Prussia, PA 19406
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: The Centers For Advanced Urology LLP
- 146 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Bryn Mawr Hospital
Acute Care Hospitals · Bryn Mawr, PAPaoli Hospital
Acute Care Hospitals · Paoli, PAMain Line Hospital Lankenau
Acute Care Hospitals · Wynnewood, PARiddle Memorial Hospital
Acute Care Hospitals · Media, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Therese Vivas's NPI number?
The NPI number for Therese Vivas is 1477389435. It was assigned to this individual provider in the NPPES registry on September 9, 2024.
Where is Therese Vivas located?
Therese Vivas practices at 919 Conestoga Rd Bldg 1, Bryn Mawr, PA 19010. The listed phone number is (610) 525-6580.
What is Therese Vivas's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Therese Vivas enrolled in Medicare?
Yes. Therese Vivas 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.
Which organization bills Medicare for Therese Vivas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Therese Vivas reassigns Medicare benefits to Alliance Physician Services, PC (King Of Prussia, PA). The 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 Therese Vivas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Therese Vivas accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Therese Vivas 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 Therese Vivas affiliated with any hospitals?
According to CMS data, Therese Vivas is affiliated with Bryn Mawr Hospital, Paoli Hospital, Main Line Hospital Lankenau and Riddle Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Therese Vivas was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Therese Vivas, CRNP · NPI 1477389435
Gerontology physician in Bryn Mawr, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 9, 2024.
## Identity
- **NPI:** 1477389435 (Entity type: Individual)
- **Enumerated:** September 9, 2024
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** SP030615 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 919 CONESTOGA RD BLDG 1, Bryn Mawr, PA 19010-1352
- **Phone:** (610) 525-6580
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Alliance Physician Services, PC (NPI 1811351083, King Of Prussia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Drexel University College Of Medicine, class of 2024
## Record status
- **NPPES last updated:** September 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1477389435) · Data from the CMS NPPES public registry.