Gerald Francis Driscoll Jr., CRNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

UP005265H Issued in PA

Practice address

3621 Aramingo Ave Ste 5C
Philadelphia, PA 19134-4607

Phone

(215) 444-7472

Fax

(215) 979-6726

NPI assigned

Oct 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gerald.driscoll@oakstreethealth.gwaydirect.com

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.

• Quiet Man Holdings LLC

  • Gerontology Nurse Practitioner
  • Wyncote, PA
  • NPI 1407739378
  Medicare reassignment NPD Authorized official
• Osh - PA Physicians Group, PC

  • Primary Care Clinic/Center
  • Philadelphia, PA
  • NPI 1811405533
  Medicare reassignment NPD
• Primary Homecare, LLC

  • Primary Care Nurse Practitioner
  • Elkins Park, PA
  • NPI 1629023593

  Gerontology

  Medicare reassignment NPD
• Primary Care at Home LLC

  • Home Health Agency
  • Elkins Park, PA
  • NPI 1396074357

  Gerontology

  NPD
• Revolution Care, Inc.

  • Gerontology Nurse Practitioner
  • North Wales, PA
  • NPI 1255582300
  NPD (past)

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1366431207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1488 MULBERRY CIR",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189741860",
            "telephone_number": "488-132-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 ARAMINGO AVE STE 5C",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191344607",
            "telephone_number": "215-444-7472",
            "fax_number": "215-979-6726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Bensalem Boulevard",
            "address_purpose": "LOCATION",
            "city": "Bensalem",
            "state": "PA",
            "postal_code": "190201956",
            "country_code": "US",
            "telephone_number": "973-661-8300",
            "fax_number": "973-661-8333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRISCOLL",
        "first_name": "GERALD",
        "middle_name": "FRANCIS",
        "name_suffix": "Jr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "UP005265H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018226880002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carly H Driban, CRNA
• Antoinette Drill, CRNP
• Lisa Drinker
• Deborah A Driscoll, MD
• Earl K Driscoll, LCSW
• Kevin Robert Driscoll, RN
• Olivia Marie Driscoll, PA-C
• Theodore George Drivas, MD, PHD
• Drive to Thrive Home Healthcare LLC
• Desiree Driver, SC

• Gerontology Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Gerontology Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.