Active NPI
Caroline Wilkinson, NURSE PRACTITIONER
- Primary Care Nurse Practitioner
- Broomall, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- SP019931
- Practice address
- 725 Winchester Rd
Broomall, PA 19008-3432 - Phone
- (610) 731-7636
- NPI assigned
- Aug 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | LP-0010644 | DE | |
| Primary Care Nurse Practitioner | 363LP2300X | SP019931 | PA | Primary |
Addresses
Primary practice location
725 Winchester Rd
Broomall, PA 19008-3432
Mailing address
725 Winchester Rd
Broomall, PA 19008-3432
Phone (610) 731-7636
Other practice location 1
236 W Allegheny Ave Ste 115A
Philadelphia, PA 19133-3629
Phone (215) 970-5629
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP-0010644 | DE | MD | Adult Health Nurse Practitioner |
| SP019931 | PA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guffanti Wound Associates PLLC | Current | Accepting new patients | |
| Ennoble HC NJ PC | Current | Accepting new patients | |
| Ocean Wounds PA PLLC | Current | Accepting new patients | |
| HC Pennsylvania P.C. | Current | Accepting new patients | |
| Encore Clinical Services - PA LLC | Current | Accepting new patients | |
| Tri-County Hospitalists, LLC | Current | Accepting new patients | |
| Riverside Physician Services Inc | Past | Accepting new patients |
Locations
2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142
15 America Ave
Unit 103
Lakewood, NJ 08701
Phone (732) 631-4358
200 Rittenhouse Cir
Ste 4
Bristol, PA 19007
Phone (267) 225-1295
325 Chestnut St
Ste 800
Philadelphia, PA 19106
Phone 9732411356 ext. 11356
8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227
507 Kimberton Rd
Phoenixville, PA 19460
Phone (610) 243-9117
1243 Skytop Mountain Rd
Port Matilda, PA 16870
Phone (814) 499-3009
1130 W Chester Pike
West Chester, PA 19382
Phone (215) 815-7500
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 7
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.
-
- Nurse Practitioner
- Bristol, PA
- NPI 1992487540
-
- Acute Care Nurse Practitioner
- Wayne, PA
- NPI 1043935414
-
- Family Nurse Practitioner
- West Chester, PA
- NPI 1215825773
-
- Internal Medicine Physician
- Phoenixville, PA
- NPI 1730518564
-
- Family Medicine Physician
- Newport News, VA
- NPI 1013933977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732579200000",
"number": "1104474394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 WINCHESTER RD",
"city": "BROOMALL",
"state": "PA",
"postal_code": "190083432",
"telephone_number": "610-731-7636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 WINCHESTER RD",
"city": "BROOMALL",
"state": "PA",
"postal_code": "190083432",
"telephone_number": "610-731-7636"
}
],
"practiceLocations": [
{
"address_1": "236 W Allegheny Ave Ste 115A",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191333629",
"country_code": "US",
"telephone_number": "215-970-5629",
"fax_number": "267-686-6071",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILKINSON",
"first_name": "CAROLINE",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-30",
"last_updated": "2024-11-26",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "DE",
"license": "LP-0010644",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "PA",
"license": "SP019931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broomall, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.