Individual provider Active NPI

Diana Sherpa

  • Nurse Practitioner
  • Moorestown, NJ
National Provider Identifier
1093221269
Registry record updated Dec 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00791300 Issued in NJ
Practice address
212 Marter Ave
Moorestown, NJ 08057-3114
Phone
(856) 291-4800
NPI assigned
Dec 23, 2017
Last updated
Dec 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2017

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 26NJ00791300 NJ Primary

Addresses

Primary practice location

212 Marter Ave
Moorestown, NJ 08057-3114

Mailing address

212 Marter Ave
Moorestown, NJ 08057-3114

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
I20210407003158 PA Practitioner - Nurse Practitioner 7911266622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1401 S 4TH St
Philadelphia, PA 19147-5948
Phone (215) 339-1079

800 Washington Ave
Philadelphia, PA 19147-4717
Phone (215) 339-5100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00791300NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Philadelphia Health Action Inc. CurrentSince Mar 2, 2021 Accepting new patients
Greater Philadelphia Health Action, Inc. CurrentSince Mar 2, 2021 Accepting new patients
Greater Philadelphia Health Action Inc. Past Accepting new patients

Locations

1401 S 31st St
Philadelphia, PA 19146
Phone (215) 755-7700

1401 S 31st St
#2
Philadelphia, PA 19146

432 N 6th St
Philadelphia, PA 19123
Phone (215) 627-8000

5501 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-4700

Interoperability endpoints

  • Direct secure messaging: diana.sherpa.p1@direct.gpha.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1513987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513987200000",
    "number": "1093221269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 MARTER AVE",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 MARTER AVE",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573114",
            "telephone_number": "856-291-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERPA",
        "first_name": "DIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-23",
        "last_updated": "2017-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00791300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.