Individual provider Active NPI

Patrice Thompson-Dreuitt

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1184448672
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
SP031042 Issued in PA
Practice address
6817 Ridge Ave
Philadelphia, PA 19128-2446
Phone
(267) 496-6400
NPI assigned
Nov 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X SP031042 PA Primary

Addresses

Primary practice location

6817 Ridge Ave
Philadelphia, PA 19128-2446

Mailing address

6817 Ridge Ave
Philadelphia, PA 19128-2446
Phone (267) 496-6400

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
I20260303004275 PA Practitioner - Nurse Practitioner 9830671452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4700 Wissahickon Ave
Suite 118
Philadelphia, PA 19144-4248

9 Executive Campus
Cherry Hill, NJ 08002-4502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP031042PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice & Counseling Services Network, Inc. CurrentSince Jan 20, 2026 Accepting new patients
Family Practice & Counseling Services Network, Inc. CurrentSince Jan 20, 2026 Accepting new patients

Locations

850 N 11th St
Philadelphia, PA 19123
Phone (215) 685-2684

4700 Wissahickon Ave
Ste 118
Philadelphia, PA 19144
Phone 26759736006771

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1184448672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 RIDGE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282446",
            "telephone_number": "267-496-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 RIDGE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282446",
            "telephone_number": "267-496-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON-DREUITT",
        "first_name": "PATRICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP031042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.