Individual provider Active NPI

Rebecca Garritillo, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Wernersville, PA
National Provider Identifier
1326886193
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN684620 Issued in PA
Practice address
374 Mountain Blvd
Wernersville, PA 19565-9219
Phone
(570) 561-2982
Fax
(570) 300-1829
NPI assigned
Jul 17, 2024
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 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 RN684620 PA Primary

Addresses

Primary practice location

374 Mountain Blvd
Wernersville, PA 19565-9219

Mailing address

374 Mountain Blvd
Wernersville, PA 19565-9219
Phone (570) 561-2982

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
I20240814002026 PA Practitioner - Nurse Practitioner 7911445523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vital Healthcare SolutionsGroup PAC ID 3274830336, 107 clinicians
Silver Willow Wellness PCGroup PAC ID 5597271577, 118 clinicians

Practice addresses (Care Compare)

2395 Lancaster Pike
Reading, PA 19607-2375
Phone (585) 233-2817

2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Phone (610) 272-8221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN684620PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Willow Wellness PC CurrentSince Dec 13, 2025 Accepting new patients
Vital Healthcare Solutions CurrentSince Jul 1, 2024 Accepting new patients

Locations

120 Trexler Ave
Kutztown, PA 19530
Phone (610) 683-6220

2901 Jolly Rd
Plymouth Mtng, PA 19462
Phone (610) 272-3222

21 Fairlane Rd
Reading, PA 19606
Phone (610) 779-0522

2395 Lancaster Pike
Fl 1
Reading, PA 19607
Phone (570) 561-2990

425 Buttonwood St
West Reading, PA 19611
Phone (610) 373-5166

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1326886193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 MOUNTAIN BLVD",
            "city": "WERNERSVILLE",
            "state": "PA",
            "postal_code": "195659219",
            "telephone_number": "570-561-2982",
            "fax_number": "570-300-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 MOUNTAIN BLVD",
            "city": "WERNERSVILLE",
            "state": "PA",
            "postal_code": "195659219",
            "telephone_number": "570-561-2982",
            "fax_number": "570-300-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRITILLO",
        "first_name": "REBECCA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "RN684620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wernersville, PA

Sources for this page

Verify at the official NPI Registry.