Individual provider Active NPI

Michaela Dechristopher

  • Nurse Practitioner
  • Lansdale, PA
National Provider Identifier
1063231553
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP030817 Issued in PA
Practice address
1551 S Valley Forge Rd
Lansdale, PA 19446-5461
Phone
(267) 645-4200
NPI assigned
Oct 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP030817 PA Primary

Addresses

Primary practice location

1551 S Valley Forge Rd
Lansdale, PA 19446-5461

Mailing address

1551 S Valley Forge Rd Ste 3
Lansdale, PA 19446-5461

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241122004318 PA Practitioner - Nurse Practitioner 5092240309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennsylvania Urgent Care Centers, PLLCGroup PAC ID 8123200631, 107 clinicians

Practice addresses (Care Compare)

1551 S Valley Forge Rd
Suite 3
Lansdale, PA 19446-5641
Phone (267) 645-4200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP030817PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Urgent Care Centers, PLLC CurrentSince Oct 15, 2024 Accepting new patients

Locations

780 N Krocks Rd
Ste 101B
Allentown, PA 18106
Phone (610) 365-3354

150 E Pennsylvania Ave
Ste 140
Downingtown, PA 19335
Phone (610) 518-1060

1551 S Valley Forge Rd
Ste 3
Lansdale, PA 19446
Phone (267) 645-4200

1551 S Valley Forge Rd
Lansdale, PA 19446
Phone (215) 361-6192

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1063231553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 S VALLEY FORGE RD STE 3",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 S VALLEY FORGE RD",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465461",
            "telephone_number": "267-645-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECHRISTOPHER",
        "first_name": "MICHAELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP030817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

Verify at the official NPI Registry.