Individual provider Active NPI

Alan Joseph Himmelsbach, CRNP

  • Adult Health Nurse Practitioner
  • Sugarloaf, PA
National Provider Identifier
1487624367
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP007748 Issued in PA
Practice address
8 Brookhill Square South
Sugarloaf, PA 18249-1824
Phone
(570) 459-0029
Fax
(570) 454-5757
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP007748 PA
Adult Health Nurse Practitioner 363LA2200X SP007748 PA Primary

Addresses

Primary practice location

8 Brookhill Square South
Sugarloaf, PA 18249-1824

Mailing address

8 Brookhill Square South
Sugarloaf, PA 18249-1701
Phone (570) 459-0029

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
I20060118000166 PA Practitioner - Nurse Practitioner 5698799633 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennsylvania Dermatology Partners IncGroup PAC ID 3274794268, 75 clinicians

Practice addresses (Care Compare)

9501 Roosevelt Blvd
Suite 506
Philadelphia, PA 19114-1030
Phone (215) 676-7200

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
77.8
Promoting interoperability
80
Improvement activities
40
Cost
93.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP007748PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Dermatology, Inc. CurrentSince Dec 1, 2018 Accepting new patients
Pennsylvania Dermatology Partners Inc CurrentSince Aug 1, 2025 Accepting new patients
Robert I. Rudolph, M.D. LTD Past Accepting new patients
Tri County Dermatology, PC Past Accepting new patients
Red Rose Emergency Physicians LLC Nurse Practitioner Past Accepting new patients
Dermatology Physicians Inc. Past Accepting new patients

Locations

1950 Street Rd
Ste 100
Bensalem, PA 19020
Phone (215) 639-7546

258 Ben Franklin Hwy E
Birdsboro, PA 19508
Phone (610) 288-2918

15050 Kutztown Rd
Fl 1
Kutztown, PA 19530
Phone (610) 628-5689

9501 Roosevelt Blvd
Ste 506
Philadelphia, PA 19114
Phone (215) 676-7200

2093 E High St
Pottstown, PA 19464
Phone (610) 323-2123

2023 E High St
Pottstown, PA 19464
Phone (610) 323-1550

2913 Windmill Rd
Ste 4
Sinking Spring, PA 19608
Phone (610) 670-4970

1134 Penn Ave
Wyomissing, PA 19610
Phone (610) 374-4463

Interoperability endpoints

  • Direct secure messaging: ahimmelsbach@pennderm.emadirect.md
  • Direct secure messaging: ahimmelsbach@dermdox.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1487624367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BROOKHILL SQUARE SOUTH",
            "city": "SUGARLOAF",
            "state": "PA",
            "postal_code": "182491701",
            "telephone_number": "570-459-0029",
            "fax_number": "610-687-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BROOKHILL SQUARE SOUTH",
            "city": "SUGARLOAF",
            "state": "PA",
            "postal_code": "182491824",
            "telephone_number": "570-459-0029",
            "fax_number": "570-454-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIMMELSBACH",
        "first_name": "ALAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP007748",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP007748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugarloaf, PA

Sources for this page

Verify at the official NPI Registry.