Individual provider Active NPI

Joyce Ennis, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Washington, PA
National Provider Identifier
1407737901
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP033976 Issued in PA
Practice address
455 Pennsylvania Ave Ste 260
Fort Washington, PA 19034-3400
Phone
(215) 793-4546
Fax
(215) 793-9007
NPI assigned
Sep 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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 SP033976 PA Primary

Addresses

Primary practice location

455 Pennsylvania Ave Ste 260
Fort Washington, PA 19034-3400

Mailing address

455 Pennsylvania Ave Ste 260
Fort Washington, PA 19034-3400
Phone (215) 793-4546

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
I20251114001169 PA Practitioner - Nurse Practitioner 0244721538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Drexel University College of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scott a. Fleischer, M.D., P.C.Group PAC ID 3779569793, 13 clinicians

Practice addresses (Care Compare)

455 Pennsylvania Ave
Suite 260
Fort Washington, PA 19034-3400
Phone 215793454613

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP033976PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scott a. Fleischer, M.D., P.C. CurrentSince Nov 1, 2025 Accepting new patients

Locations

455 Pennsylvania Ave
Ste 260
Ft Washington, PA 19034
Phone (215) 793-4546

Organizations & group practices 1

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": "1757462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1407737901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 PENNSYLVANIA AVE STE 260",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190343400",
            "telephone_number": "215-793-4546",
            "fax_number": "215-793-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 PENNSYLVANIA AVE STE 260",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190343400",
            "telephone_number": "215-793-4546",
            "fax_number": "215-793-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENNIS",
        "first_name": "JOYCE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP033976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, PA

Sources for this page

Verify at the official NPI Registry.