NPIMap

Individual provider Active NPI

Danielle Medvinsky, CRNP

  • Nurse Practitioner
  • Yardley, PA
National Provider Identifier
1306556923
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP026074 Issued in PA
Practice address
1000 Floral Vale Blvd Ste 125
Yardley, PA 19067-5583
Phone
(267) 759-6300
NPI assigned
Dec 5, 2022
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP026074 PA Primary

Addresses

Primary practice location

1000 Floral Vale Blvd Ste 125
Yardley, PA 19067-5583

Mailing address

3500 N Broad St # 1a
Philadelphia, PA 19140-4106
Phone (215) 707-2433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230201002062 PA Practitioner - Nurse Practitioner 5597136481 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Temple Physicians IncGroup PAC ID 2062317233, 154 clinicians

Practice addresses (Care Compare)

1000 Floral Vale Blvd
Suite 125
Yardley, PA 19067-5583
Phone (267) 759-6300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Phila Cancer & Hematology Specialists PC Current Accepting new patients
Temple Physician Inc. CurrentSince Oct 1, 2024 Accepting new patients
Hematology-Oncology Group, P.C. Current Accepting new patients
Alliance Cancer Specialists P.C. CurrentSince Dec 5, 2022 Accepting new patients
Alliance Cancer Specialists CurrentSince Dec 5, 2022 Accepting new patients
Temple Physicians Inc CurrentSince Oct 1, 2024 Accepting new patients
Temple Physicians Inc Nurse Practitioner Current Accepting new patients
Temple Physicians Inc. Past Accepting new patients

Locations

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

1203 Langhorne Newtown Rd
Ste 135
Langhorne, PA 19047
Phone (215) 612-5250

2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000

2630 Holme Ave
Ste 104
Philadelphia, PA 19152
Phone (215) 332-9095

915 Lawn Ave
Ste 202
Sellersville, PA 18960
Phone (215) 453-3300

1000 Floral Vale Blvd
Ste 125
Yardley, PA 19067
Phone (215) 785-9500

Organizations & group practices 8

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 11

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": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1306556923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 N BROAD ST # 1A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404106",
            "telephone_number": "215-707-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FLORAL VALE BLVD STE 125",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675583",
            "telephone_number": "267-759-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDVINSKY",
        "first_name": "DANIELLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP026074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yardley, PA

Sources for this page

Verify at the official NPI Registry.