Individual provider Active NPI

Catherine Ann Cleaver, CRNP

  • Family Nurse Practitioner
  • Valley Forge, PA
National Provider Identifier
1184941874
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP010662 Issued in PA
Practice address
1288 Valley Forge Road
Suite 65
Valley Forge, PA 19482
Phone
(610) 935-5600
NPI assigned
Apr 21, 2010
Last updated
Apr 21, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP010662 PA Primary

Addresses

Primary practice location

1288 Valley Forge Road
Suite 65
Valley Forge, PA 19482

Mailing address

1288 Valley Forge Road
Suite 65
Valley Forge, PA 19482
Phone (610) 935-5600

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
I20110118000756 PA Practitioner - Nurse Practitioner 1759570088 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians

Practice addresses (Care Compare)

925 Chestnut St
Suite 420a
Philadelphia, PA 19107-4204
Phone (215) 955-8516

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Plastic Surgery Specialists PC CurrentSince Aug 10, 2010 Accepting new patients
Jefferson University Physicians CurrentSince Apr 14, 2022 Accepting new patients
Jefferson University Physicians PastSince Apr 14, 2022 Accepting new patients
Jefferson Radiation Oncology, LLC Past Accepting new patients

Locations

1101 Chestnut St
#8
Philadelphia, PA 19107
Phone (215) 955-5869

925 Chestnut St
Philadelphia, PA 19107
Phone (215) 955-5050

925 Chestnut St
Fl 4
Philadelphia, PA 19107
Phone (215) 955-5772

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

925 Chestnut St
Ste 420A
Philadelphia, PA 19107
Phone (215) 955-8516

1288 Valley Forge Rd
Ste 65
Phoenixville, PA 19460
Phone (610) 935-0225

Organizations & group practices 4

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 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": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271808000000",
    "number": "1184941874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1288 VALLEY FORGE ROAD",
            "address_2": "SUITE 65",
            "city": "VALLEY FORGE",
            "state": "PA",
            "postal_code": "19482",
            "telephone_number": "610-935-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1288 VALLEY FORGE ROAD",
            "address_2": "SUITE 65",
            "city": "VALLEY FORGE",
            "state": "PA",
            "postal_code": "19482",
            "telephone_number": "610-935-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEAVER",
        "first_name": "CATHERINE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-21",
        "last_updated": "2010-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP010662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Forge, PA

Sources for this page

Verify at the official NPI Registry.