Individual provider Active NPI

Shannon Voelker, CRNP

  • Pediatric Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1033864657
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
SP024732 Issued in PA
Practice address
251 E Bringhurst St
Philadelphia, PA 19144-1799
Phone
(215) 844-1020
NPI assigned
Feb 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X SP024732 PA Primary

Addresses

Primary practice location

251 E Bringhurst St
Philadelphia, PA 19144-1799

Mailing address

2220 Walnut St Apt 312
Philadelphia, PA 19103-5583
Phone (607) 259-1710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220519001125 PA Practitioner - Nurse Practitioner 8729465349 Reassigns benefits to 1 organization
I20241111003363 DE Practitioner - Nurse Practitioner 8729465349 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP024732PAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant House Inc CurrentSince Apr 14, 2022 Accepting new patients
The Nemours Foundation CurrentSince Nov 4, 2024 Accepting new patients
The Nemours Foundation CurrentSince Nov 4, 2024 Accepting new patients
Covenant House Inc CurrentSince Apr 14, 2022 Accepting new patients
The Nemours Foundation Past Accepting new patients

Locations

200 Biddle Ave
Ste 100
Newark, DE 19702
Phone (302) 836-7820

1602 Jessup St
Wilmington, DE 19802
Phone (302) 576-5050

1600 Rockland Rd
Wilmington, DE 19803

251 E Bringhurst St
Philadelphia, PA 19144
Phone (215) 248-7560

Interoperability endpoints

  • Direct secure messaging: svoelker134816@direct.nemours.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1033864657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 WALNUT ST APT 312",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035583",
            "telephone_number": "607-259-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 E BRINGHURST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191441799",
            "telephone_number": "215-844-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOELKER",
        "first_name": "SHANNON",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP024732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.