Individual provider Active NPI

Arwen Deschere, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1265294540
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP028949 Issued in PA
Practice address
1200 Callowhill St Ste 101
Philadelphia, PA 19123-3658
Phone
(215) 309-6223
NPI assigned
Jan 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP028949 PA Primary

Addresses

Primary practice location

1200 Callowhill St Ste 101
Philadelphia, PA 19123-3658

Mailing address

1200 Callowhill St Ste 101
Philadelphia, PA 19123-3658
Phone (215) 309-6223

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
I20240412000152 PA Practitioner - Nurse Practitioner 1254770126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 Callowhill St
Suite 101
Philadelphia, PA 19123-3658
Phone (215) 825-8220

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Management Corporation CurrentSince Mar 11, 2024 Accepting new patients
Public Health Management Corporation CurrentSince Mar 11, 2024 Accepting new patients
Public Health Management Corporation Current Accepting new patients

Locations

1200 Callowhill St
Ste 101
Philadelphia, PA 19123
Phone (215) 825-8212

125 S 9th St
Philadelphia, PA 19107
Phone (215) 592-4500

5675 N Front St
Philadelphia, PA 19120
Phone (215) 224-0440

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": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1265294540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CALLOWHILL ST STE 101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233658",
            "telephone_number": "215-309-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CALLOWHILL ST STE 101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233658",
            "telephone_number": "215-309-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESCHERE",
        "first_name": "ARWEN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP028949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.