Individual provider Active NPI

Julia Fabian Wauchope, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Reading, PA
National Provider Identifier
1679170450
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SPO22475 Issued in PA
Practice address
145 N 6TH St
Reading, PA 19601-3096
Phone
(610) 816-2720
NPI assigned
Oct 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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 SPO22475 PA Primary

Addresses

Primary practice location

145 N 6TH St
Reading, PA 19601-3096

Mailing address

145 N 6TH St
Reading, PA 19601-3096

Other practice location 1

283 S Butler Rd
Lebanon, PA 17042-8939
Phone (717) 273-8871

Other identifiers 1

IdentifierTypeStateIssuer
1038432310002MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Reading

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
I20201214000822 PA Practitioner - Nurse Practitioner 2567874712 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PhilhavenGroup PAC ID 8729991419, 93 clinicians

Practice addresses (Care Compare)

283 S Butler Rd
Lebanon, PA 17042-8939
Phone (717) 270-2422

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SPO22475PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Philhaven CurrentSince May 27, 2021 Accepting new patients
Philhaven CurrentSince May 27, 2021 Accepting new patients
Haven Behavioral Services of Reading, LLC CurrentSince Nov 24, 2020 Accepting new patients
Wellspan Medical Group Past Accepting new patients

Locations

2501 Oregon Pike
Ste 113
Lancaster, PA 17601
Phone (717) 735-1954

283 S Butler Rd
Lebanon, PA 17042

204 Hathaway Park
Lebanon, PA 17042
Phone (717) 274-9777

145 N 6th St
Reading, PA 19601
Phone (610) 378-2440

1800 N 12th St
Ste 2
Reading, PA 19604
Phone (610) 816-5728

3102 West End Ave
Ste 1000
Nashville, TN 37203

Interoperability endpoints

  • Direct secure messaging: jwauchope249347@wellspan.direct-ci.com

Organizations & group practices 4

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": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1679170450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 N 6TH ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196013096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 N 6TH ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196013096",
            "telephone_number": "610-816-2720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "283 S Butler Rd",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170428939",
            "country_code": "US",
            "telephone_number": "717-273-8871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAUCHOPE",
        "first_name": "JULIA",
        "middle_name": "FABIAN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SPO22475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1038432310002",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Reading",
            "affiliation": "N",
            "address_1": "145 N 6th St",
            "city": "Reading",
            "state": "PA",
            "country_code": "US",
            "postal_code": "196013096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.