Johanna Foster Detwiler, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C5-0001175 Issued in DE

Practice address

2722 Concord Pike
Wilmington, DE 19803-5007

Phone

(302) 477-1406

NPI assigned

Sep 28, 2017

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

Enrolled in DE, PA2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christiana Care Quality PartnersGroup PAC ID 0143657247, 96 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: johanna.detwiler@ghuccc.eclinicaldirectplus.com

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.

• Christiana Care Quality Partners

  • Urgent Care Clinic/Center
  • Newark, DE
  • NPI 1164061867
  Medicare reassignment Care Compare group
• Christine Meyer MD LLC

  • Internal Medicine Physician
  • Exton, PA
  • NPI 1316164007
  Medicare reassignment
• Christiana Care Quality Partners

  • Urgent Care Clinic/Center
  • Wilmington, DE
  • NPI 1881367332
  NPD (past)

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1578072021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E WYNNEWOOD RD APT 10A",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190961526",
            "telephone_number": "253-678-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 CONCORD PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198035007",
            "telephone_number": "302-477-1406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hygeia Dr",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197132049",
            "country_code": "US",
            "telephone_number": "302-273-1701",
            "fax_number": "302-273-4497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DETWILER",
        "first_name": "JOHANNA",
        "middle_name": "FOSTER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0001175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Desmond, PT, DPT
• Peter M Desroches, PTA
• Falon Desselle, LCSW
• Marissa Destefano, PA-C
• John William Dettwyler, PH.D.
• Charlene Miltz Deuber, APRN
• Ellen S. Deutsch, MD
• Stephanie Anne Deutsch, M.D.
• Dan Michael Devano, DO
• Jennifer Devaughn, CRNP-PMH

• Physician Assistant in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Physician Assistant in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.