Individual provider Active NPI

Peter Anthony D'Orsaneo, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Chester, PA
National Provider Identifier
1093329872
Registry record updated Sep 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP025706 Issued in PA
Practice address
2201 Providence Ave
Chester, PA 19013-5218
Phone
(610) 583-1177
NPI assigned
Aug 31, 2020
Last updated
Sep 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP025706 PA Primary
Gerontology Nurse Practitioner 363LG0600X SP025706 PA

Addresses

Primary practice location

2201 Providence Ave
Chester, PA 19013-5218

Mailing address

2201 Providence Ave
Chester, PA 19013-5218
Phone (610) 583-1177

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
I20220627002408 PA Practitioner - Nurse Practitioner 7911314588 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
AIDS Care GroupGroup PAC ID 2264345933, 15 clinicians

Practice addresses (Care Compare)

2201 Providence Ave
Chester, PA 19013-5218
Phone (610) 872-9101

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
309923NYMDInterventional Cardiology Physician
SP025706PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
AIDS Care Group CurrentSince Sep 24, 2024 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Jul 25, 2022 Accepting new patients
AIDS Care Group CurrentSince Sep 24, 2024 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst CurrentSince Jul 25, 2022 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Current Accepting new patients

Locations

2201 Providence Ave
Chester, PA 19013
Phone (610) 583-1177

2304 Edgmont Ave
Chester, PA 19013
Phone (610) 586-4300

422 E 22nd St
Chester, PA 19013
Phone (610) 872-2200

1930 S Broad St
Philadelphia, PA 19145
Phone (215) 339-4563

800 Walnut St
Fl 17
Philadelphia, PA 19107
Phone (215) 829-3016

1220 Chester Pike
Sharon Hill, PA 19079
Phone (610) 586-2122

1300 Chester Pike
Sharon Hill, PA 19079
Phone (610) 583-1177

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

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, 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": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725148800000",
    "number": "1093329872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 PROVIDENCE AVE",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190135218",
            "telephone_number": "610-583-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 PROVIDENCE AVE",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190135218",
            "telephone_number": "610-583-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ORSANEO",
        "first_name": "PETER",
        "middle_name": "ANTHONY",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-31",
        "last_updated": "2024-09-01",
        "certification_date": "2024-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP025706",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP025706",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

Verify at the official NPI Registry.