Renee Julia Updegrave, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP019690 Issued in PA

Practice address

280 Middle Holland Rd
Holland, PA 18966-4822

Phone

(215) 322-6100

NPI assigned

Jan 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Alignmed Partners, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Gardendale, AL
  • NPI 1881109452
  NPD
• HCR Manor Care Medical Services of Florida LLC

  • Nurse Practitioner
  • Toledo, OH
  • NPI 1881861052
  NPD
• HCR Manorcare Medical Services of Florida LLC

  • Nurse Practitioner
  • Toledo, OH
  • NPI 1386750420
  NPD
• Supportive Care of Pennsylvania LLC

  • Clinical Psychologist
  • Monsey, NY
  • NPI 1174992275
  NPD (past)

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1366915795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 BOGEY CIR",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012881",
            "telephone_number": "215-833-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MIDDLE HOLLAND RD",
            "city": "HOLLAND",
            "state": "PA",
            "postal_code": "189664822",
            "telephone_number": "215-322-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPDEGRAVE",
        "first_name": "RENEE",
        "middle_name": "JULIA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP019690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Sue Tolentino, BT
• Amy Tomalin
• Trinity Health Mid-Atlantic Medical Group
• Galina Tsypis, DPT
• Twining Village SNF Operating Company LLC
• Annie Varughese, PHARMD
• Jessica Vaysman, PT, DPT
• Karyn Vercoe
• Village Shires Family Medicine
• Elizabeth Ann Vogt, OTR/L

• Family Nurse Practitioner in Holland, PA
• Providers in Holland, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.