Active NPI
Rebecca Prosser
- Women's Health Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- SP017377
- Practice address
- 833 Chestnut Street
1St Floor
Philadelphia, PA 19107-4420 - Phone
- (215) 955-5000
- NPI assigned
- Apr 7, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | MW010438 | PA | |
| Women's Health Nurse Practitioner | 363LW0102X | SP017377 | PA | Primary |
Addresses
Primary practice location
833 Chestnut Street
1St Floor
Philadelphia, PA 19107-4420
Mailing address
833 Chestnut Street
1St Floor
Philadelphia, PA 19107-4420
Phone (215) 955-5000
Other practice location 1
1233 Locust St Ste 401
Philadelphia, PA 19107-5459
Phone (215) 955-8577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103300667 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
833 Chestnut St
Philadelphia, PA 19107-4420
Phone (215) 955-5000
Hospital & facility affiliations
- Thomas Jefferson University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MW010438 | PA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson University Physicians | Current | Accepting new patients | |
| Jefferson University Physicians | Past | Accepting new patients |
Locations
3 Crescent Dr
Ste 100
Philadelphia, PA 19112
Phone (215) 503-3300
833 Chestnut St
Fl 1
Philadelphia, PA 19107
Phone (215) 955-1085
1302 Wolf St
Philadelphia, PA 19148
Phone (215) 952-5170
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
Organizations & group practices 2
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.
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
-
- Gastroenterology Physician
- Phila, PA
- NPI 1205898723
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550188800000",
"number": "1043743966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 CHESTNUT STREET",
"address_2": "1ST FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074420",
"telephone_number": "215-955-5000",
"fax_number": "215-923-1089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 CHESTNUT STREET",
"address_2": "1ST FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074420",
"telephone_number": "215-955-5000"
}
],
"practiceLocations": [
{
"address_1": "1233 Locust St Ste 401",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191075459",
"country_code": "US",
"telephone_number": "215-955-8577",
"fax_number": "215-568-6414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PROSSER",
"first_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-07",
"last_updated": "2019-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "PA",
"license": "MW010438",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "PA",
"license": "SP017377",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103300667",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.