Individual provider Active NPI

Jomarie Peters, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Thorndale, PA
National Provider Identifier
1386263705
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP021009 Issued in PA
Practice address
50 James Buchanan Rd
Thorndale, PA 19372-1132
Phone
(610) 873-1010
NPI assigned
Apr 15, 2020
Last updated
Apr 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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 SP021009 PA Primary

Addresses

Primary practice location

50 James Buchanan Rd
Thorndale, PA 19372-1132

Mailing address

50 James Buchanan Rd
Thorndale, PA 19372-1132
Phone (610) 873-1010

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
I20200709000594 PA Practitioner - Nurse Practitioner 5890118863 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ramesh B Eluri MD PCGroup PAC ID 1254437056, 4 clinicians
Penn Psychiatric Center IncGroup PAC ID 9537055405, 8 clinicians

Practice addresses (Care Compare)

100 Eagleville Rd
Eagleville Hospital Gero Psych Inpatient Un
Eagleville, PA 19403-1829
Phone (610) 539-6000

404 E High St
Pottstown, PA 19464-5622

601 Gay St
Phoenixville, PA 19460-3852
Phone (610) 917-2200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP021009PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Human Services, Inc. CurrentSince Jul 13, 2020 Accepting new patients
Human Services Inc CurrentSince Jul 13, 2020 Accepting new patients
Fellowship Health Resources, Inc CurrentSince Mar 15, 2021 Accepting new patients
Human Services, Inc Current Accepting new patients
Ramesh B Eluri MD PC CurrentSince Sep 2, 2023 Accepting new patients
Fellowship Health Resources, Inc. PastSince May 31, 2020 Accepting new patients

Locations

100 Eagleville Rd
Eagleville, PA 19403
Phone (610) 539-6000

1041 W Bridge St
Ste 5
Phoenixville, PA 19460
Phone (610) 415-9301

50 James Buchanan Rd
Thorndale, PA 19372
Phone (610) 200-6222

24 Albion Rd
Ste 420
Lincoln, RI 02865
Phone (401) 333-3980

Organizations & group practices 8

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": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1386263705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 JAMES BUCHANAN RD",
            "city": "THORNDALE",
            "state": "PA",
            "postal_code": "193721132",
            "telephone_number": "610-873-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 JAMES BUCHANAN RD",
            "city": "THORNDALE",
            "state": "PA",
            "postal_code": "193721132",
            "telephone_number": "610-873-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "JOMARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP021009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thorndale, PA

Sources for this page

Verify at the official NPI Registry.