Individual provider Active NPI

Adele Louise Schiller, CRNP

  • Gerontology Nurse Practitioner
  • Chalfont, PA
National Provider Identifier
1306867239
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
TP004611H Issued in PA
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

Updated by the provider on Jan 15, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0018486480003MedicaidPA

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

LicenseStateTypeSpecialty
26NN06956700NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.