Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrea Bannon, CRNP

Individual provider Nurse Practitioner · NPI 1750953287

Andrea Bannon, CRNP is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Lancaster General Medical Group, a 582-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Licensed in
PA
In the registry since
2021
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

3400 Spruce Street 4 Silverstein
Philadelphia, PA 19104-2406
Phone: (215) 615-5858
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP022772 (PA)

Record details

NPI number1750953287
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJuly 14, 2021
Last updated in NPPESOctober 25, 2021
Certification dateOctober 25, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Lancaster General Medical Group — 582 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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