Individual provider Active NPI

Caryn Michelle Vadseth, CRNP

  • Adult Health Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1609519859
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP025310 Issued in PA
Practice address
3401 N Broad St FL Center4
Philadelphia, PA 19140-5189
Phone
(215) 913-7549
NPI assigned
Apr 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP025310 PA Primary

Addresses

Primary practice location

3401 N Broad St FL Center4
Philadelphia, PA 19140-5189

Mailing address

2563 Starr Rd
Pennsauken, NJ 08109-3646

Other practice location 1

333 Cottman Ave
Philadelphia, PA 19111-2497
Phone (215) 913-7549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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

Enrollment IDStateProvider typePAC IDDetails
I20221017003377 PA Practitioner - Nurse Practitioner 0648646695 Reassigns benefits to 2 organizations
I20240417000822 NJ Practitioner - Nurse Practitioner 0648646695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

230 W Washington SQ Farm Journal BLDG
Hemo Onc Pah
Philadelphia, PA 19106-3500
Phone (215) 829-6088

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.21 of 100Reported as group
Quality
49.71
Promoting interoperability
100
Improvement activities
40
Cost
74.23

Merit-based Incentive Payment System (MIPS)

Final score
84.63 of 100Reported as group
Quality
72.06
Improvement activities
40
Cost
72.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP025310PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Faculty Practice Plan Inc CurrentSince Jul 7, 2022 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Jul 7, 2022 Accepting new patients
University of Penn-Medical Group CurrentSince Jan 20, 2025 Accepting new patients
University of Penn-Medical Group CurrentSince Jan 20, 2025 Accepting new patients
Samaritan Healthcare & Hospice, Inc. CurrentSince May 1, 2024 Accepting new patients
Temple Faculty Practice Plan Inc Past Accepting new patients

Locations

3906 Church Rd
#P
Mount Laurel, NJ 08054
Phone (856) 552-3261

3906 Church Rd
Mount Laurel, NJ 08054
Phone (856) 222-3292

3401 N Broad St
#4
Philadelphia, PA 19140
Phone (215) 707-7725

3400 Civic Center Blvd
#2
Philadelphia, PA 19104
Phone (215) 615-0063

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

333 Cottman Ave
Philadelphia, PA 19111
Phone (215) 728-3893

230 W Washington Sq
Bldg 2ND
Philadelphia, PA 19106
Phone (215) 829-6088

800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1609519859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2563 STARR RD",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081093646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N BROAD ST FL CENTER4",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405189",
            "telephone_number": "215-913-7549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Cottman Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191112497",
            "country_code": "US",
            "telephone_number": "215-913-7549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VADSETH",
        "first_name": "CARYN",
        "middle_name": "MICHELLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP025310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.