Individual provider Active NPI

Mariah Swisher

  • Pediatric Nurse Practitioner
  • King of Prussia, PA
National Provider Identifier
1679291272
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
SP026114 Issued in PA
Practice address
550 S Goddard Blvd
King of Prussia, PA 19406-2922
Phone
(610) 337-3232
NPI assigned
Aug 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X SP026114 PA Primary

Addresses

Primary practice location

550 S Goddard Blvd
King of Prussia, PA 19406-2922

Mailing address

109 E Pine St
Ephrata, PA 17522-2135

Other practice location 1

1570 Fruitville Pike Ste 100
Lancaster, PA 17601-4087
Phone (717) 569-6481

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
I20231204003452 PA Practitioner - Nurse Practitioner 4587012315 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Health Care Associates, Inc Current Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Childrens Health Care Associates, Inc CurrentSince May 20, 2024 Accepting new patients
Childen'S Health Care Associates Inc. CurrentSince May 20, 2024 Accepting new patients
Lancaster General Medical Group CurrentSince Dec 11, 2023 Accepting new patients
Lancaster General Medical Group CurrentSince Dec 11, 2023 Accepting new patients
Childrens Health Care Associates of New Jersey PC Past Accepting new patients

Locations

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

1570 Fruitville Pike
Ste 100
Lancaster, PA 17601
Phone (717) 569-6481

51 Peters Rd
Ste 200203
Lititz, PA 17543
Phone (717) 393-1900

3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040

2929 Arch St
Fl 12
Philadelphia, PA 19104

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.

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1679291272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E PINE ST",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S GODDARD BLVD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062922",
            "telephone_number": "610-337-3232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1570 Fruitville Pike Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176014087",
            "country_code": "US",
            "telephone_number": "717-569-6481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWISHER",
        "first_name": "MARIAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP026114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.