NPIMap

Organization Active NPI

Phoebe Corporate & Community Based Services

Doing business as Phoebe Certified Nurse Practioner Services

  • Health Service Clinic/Center
  • Wernersville, PA
National Provider Identifier
1558733378
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PHOEBE CORPORATE & COMMUNITY BASED SERVICES
Doing business as
Phoebe Certified Nurse Practioner Services
Practice address
1 Reading Dr
Wernersville, PA 19565-2018
Phone
(610) 927-8512
Fax
(610) 507-1684
NPI assigned
Oct 21, 2015
Last updated
Oct 21, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
PHOEBE CORPORATE & COMMUNITY BASED SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Authorized official

Name
Mr. Scott R Stevenson
Title
President/Ceo
Phone
(610) 794-5131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

1 Reading Dr
Wernersville, PA 19565-2018

Mailing address

1 Reading Dr
Wernersville, PA 19565-2018
Phone (610) 927-8512

Other names 1

  • Phoebe Certified Nurse Practioner Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140411000503 PA Part B Supplier - Clinic/Group Practice 2961668157 Receives reassigned benefits from 39 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Allentown, PA; Richlandtown, PA; Wernersville, PA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Phoebe Cor and Community

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1558733378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 READING DR",
            "city": "WERNERSVILLE",
            "state": "PA",
            "postal_code": "195652018",
            "telephone_number": "610-927-8512",
            "fax_number": "610-507-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 READING DR",
            "city": "WERNERSVILLE",
            "state": "PA",
            "postal_code": "195652018",
            "telephone_number": "610-927-8512",
            "fax_number": "610-507-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOEBE CORPORATE & COMMUNITY BASED SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHOEBE CORPORATE & COMMUNITY BASED SERVICES",
        "enumeration_date": "2015-10-21",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "610-794-5131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoebe Certified Nurse Practioner Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wernersville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.