Individual provider Active NPI

Joanna Wishnoff

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1083070601
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP015593 Issued in PA
Practice address
6701 Ridge Ave
Philadelphia, PA 19128-2459
Phone
(215) 333-4300
NPI assigned
Jan 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Clinical Nurse Specialist 364SP0200X SP015593 PA
Family Nurse Practitioner 363LF0000X SP015593 PA Primary
Family Health Clinical Nurse Specialist 364SF0001X SP015593 PA

Addresses

Primary practice location

6701 Ridge Ave
Philadelphia, PA 19128-2459

Mailing address

1632 Pine St
Philadelphia, PA 19103-6711
Phone (215) 735-7992

Other practice location 1

5201 Haverford Ave
Philadelphia, PA 19139-1401
Phone (215) 471-2761 ext. 3281

Other practice location 2

6501 Harbison Ave
Philadelphia, PA 19149
Phone (215) 333-4300

Other identifiers 2

IdentifierTypeStateIssuer
RN616816OtherPAREGISTERED NURSE
SP015593OtherPACERTIFIED REGISTERED NURSE PRACTITIONER

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
I20160311001440 PA Practitioner - Nurse Practitioner 0345546693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

3701 Market St 3Rd Floor
Penn OB/GYN Associates
Philadelphia, PA 19104-5502
Phone (215) 662-6035

Hospital & facility affiliations

  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

Merit-based Incentive Payment System (MIPS)

Final score
84.91 of 100Reported as group
Quality
73.58
Promoting interoperability
100
Improvement activities
40
Cost
76.13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP015593PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Apr 1, 2024 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince Apr 1, 2024 Accepting new patients
Pennsylvania CVS Pharmacy, L.L.C. Past Accepting new patients
Res Ventures, LLC Past Accepting new patients

Locations

3701 Market St
Fl 3
Philadelphia, PA 19104
Phone (215) 662-6035

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

145 King of Prussia Rd
Ste 302
Wayne, PA 19087
Phone (610) 902-2500

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1083070601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 PINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036711",
            "telephone_number": "215-735-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 RIDGE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282459",
            "telephone_number": "215-333-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5201 Haverford Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191391401",
            "country_code": "US",
            "telephone_number": "215-471-2761 x3281",
            "fax_number": "215-472-6093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6501 Harbison Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19149",
            "country_code": "US",
            "telephone_number": "215-333-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISHNOFF",
        "first_name": "JOANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "PA",
            "license": "SP015593",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015593",
            "primary": true
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "PA",
            "license": "SP015593",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "RN616816",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED REGISTERED NURSE PRACTITIONER",
            "identifier": "SP015593",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.