Individual provider Active NPI

Gretchen Bernatowicz, DNP, FNP-C, CRNP

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1356593958
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP009234 Issued in PA
Practice address
3400 Civic Center Blvd FL 2
Philadelphia, PA 19104-5127
Phone
(215) 615-2222
NPI assigned
Oct 15, 2008
Last updated
Jan 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP009234 PA Primary

Addresses

Primary practice location

3400 Civic Center Blvd FL 2
Philadelphia, PA 19104-5127

Mailing address

2033 Springhouse Rd
Broomall, PA 19008-3203
Phone (610) 996-0070

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
I20160706000156 PA Practitioner - Nurse Practitioner 0345532768 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

1800 Lombard St
Suite 206
Philadelphia, PA 19146-1414
Phone (215) 615-2222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP009234PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn - Medical Group Current Accepting new patients
University of Penn - Medical Group CurrentSince Mar 15, 2022 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Infusion Express of Pennsylvania PLLC CurrentSince Jun 1, 2019 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jul 1, 2016 Accepting new patients
University of Penn-Medical Group CurrentSince Mar 15, 2022 Accepting new patients

Locations

710 Rockhill Dr
Bensalem, PA 19020
Phone (484) 318-2268

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

70 E Swedesford Rd
Ste 130
Malvern, PA 19355
Phone (484) 318-2268

176 S New Middletown Rd
Ste 100
Media, PA 19063
Phone (610) 328-8830

1800 Lombard St
Ste 206
Philadelphia, PA 19146
Phone (215) 615-2222

3400 Civic Center Blvd
Fl 2
Philadelphia, PA 19104

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

Organizations & group practices 6

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 2

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": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1356593958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 SPRINGHOUSE RD",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083203",
            "telephone_number": "610-996-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045127",
            "telephone_number": "215-615-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNATOWICZ",
        "first_name": "GRETCHEN",
        "name_prefix": "Mrs.",
        "credential": "DNP, FNP-C, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP009234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.