Individual provider Active NPI

Karen Detweiler, ANP-BC

  • Adult Health Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1063797330
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP011606 Issued in PA
Practice address
3621 Aramingo Ave Ste 5C
Philadelphia, PA 19134-4607
Phone
(215) 444-7472
NPI assigned
Oct 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP011606 PA Primary

Addresses

Primary practice location

3621 Aramingo Ave Ste 5C
Philadelphia, PA 19134-4607

Mailing address

PO Box 746722
Atlanta, GA 30374-6722
Phone (469) 727-6675

Other practice location 1

115 E Broad St
Hatfield, PA 19440-2468
Phone (215) 368-3456

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
I20111222000046 PA Practitioner - Nurse Practitioner 1759557788 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP011606PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osh - PA Physicians Group, PC CurrentSince Aug 18, 2025 Accepting new patients
VRL Medical Practice PLLC CurrentSince May 1, 2021 Accepting new patients

Locations

300 Welsh Rd
Ste 100
Horsham, PA 19044
Phone (267) 209-3410

1425 Horsham Rd
North Wales, PA 19454
Phone (215) 284-5398

3621 Aramingo Ave
Philadelphia, PA 19134
Phone (312) 600-8484

3621 Aramingo Ave
Ste 5C
Philadelphia, PA 19134
Phone (215) 444-7472

951 N 6th St
Ste 221
Reading, PA 19601
Phone (484) 207-2000

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.

NPI Registry JSON

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1063797330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746722",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746722",
            "telephone_number": "469-727-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 ARAMINGO AVE STE 5C",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191344607",
            "telephone_number": "215-444-7472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 E BROAD ST",
            "address_purpose": "LOCATION",
            "city": "HATFIELD",
            "state": "PA",
            "postal_code": "194402468",
            "country_code": "US",
            "telephone_number": "215-368-3456",
            "fax_number": "215-368-5280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DETWEILER",
        "first_name": "KAREN",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-18",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP011606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.