Julian K Derr, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

SP019006 Issued in PA

Practice address

2605 Keiser Blvd
Wyomissing, PA 19610-3338

Phone

(610) 685-8500

Fax

(610) 685-4833

NPI assigned

Nov 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Julian Keller Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: julian.derr.p32@direct.medcor.nextgenshare.com
• Direct secure messaging: julianderr@bcl.allscriptsdirect.net

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.

• Berks Cardiologists LTD

  • Cardiovascular Disease Physician
  • Wyomissing, PA
  • NPI 1275524019
  NPD
• Penn State Health Medical Group, LLC

  • Pulmonary Disease Physician
  • Lemoyne, PA
  • NPI 1801433149
  NPD (past)

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1215406293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 448",
            "city": "EAST PETERSBURG",
            "state": "PA",
            "postal_code": "175200448",
            "telephone_number": "717-391-7092",
            "fax_number": "717-735-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 KEISER BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103338",
            "telephone_number": "610-685-8500",
            "fax_number": "610-685-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERR",
        "first_name": "JULIAN",
        "middle_name": "K",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP019006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIAN",
            "last_name": "KELLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Christopher Dellanoce, AU.D.
• Bonnie J.K. Delong, M.A.
• Karen Smith Delong, CRNP
• Karen Kruse Delvecchio, L.P.C.
• Trudy M Demko, MD
• Daniel L Derrer, LMFT
• Denise Elaine Desantis, LCSW
• Ned Peter Devlin, D.C.
• Olivia Julie Deysher, PT, DPT
• DGR Management Inc.

• Adult Health Nurse Practitioner in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Adult Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.

Verify at the official NPI Registry.