Active NPI
Adele Louise Schiller, CRNP
- Gerontology Nurse Practitioner
- Chalfont, PA
National Provider Identifier
1306867239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- TP004611H
- Practice address
- 1300 Horizon Dr
Suite 101
Chalfont, PA 18914-3970 - Phone
- (215) 712-2545
- Fax
- (215) 712-2540
- NPI assigned
- Jul 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | TP004611H | PA | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 26NN06956700 | NJ |
Addresses
Primary practice location
1300 Horizon Dr
Suite 101
Chalfont, PA 18914-3970
Mailing address
3601 Gramercy Way
Mount Laurel, NJ 08054-6741
Phone (856) 273-1713
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018486480003 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NN06956700 | NJ | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Homecare, LLC | Gerontology | Past | Accepting new patients |
Organizations & group practices 1
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": "1153612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200355200000",
"number": "1306867239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 GRAMERCY WAY",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080546741",
"telephone_number": "856-273-1713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 HORIZON DR",
"address_2": "SUITE 101",
"city": "CHALFONT",
"state": "PA",
"postal_code": "189143970",
"telephone_number": "215-712-2545",
"fax_number": "215-712-2540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHILLER",
"first_name": "ADELE",
"middle_name": "LOUISE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-23",
"last_updated": "2008-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "PA",
"license": "TP004611H",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NJ",
"license": "26NN06956700",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018486480003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chalfont, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.