Individual provider Active NPI

Suzanne Pannabecker, CRNP

  • Women's Health Nurse Practitioner
  • West Reading, PA
National Provider Identifier
1679732820
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
UP005570G Issued in PA
Practice address
300 S 6TH Ave
West Reading, PA 19611-1426
Phone
(610) 988-9438
NPI assigned
Jun 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X UP005570G PA Primary

Addresses

Primary practice location

300 S 6TH Ave
West Reading, PA 19611-1426

Mailing address

300 S 6TH Ave
PO Box 16052
West Reading, PA 19611-1426
Phone (610) 988-9438

Other identifiers 1

IdentifierTypeStateIssuer
UP005570GOtherPASTATE LICENSE

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
I20100921000611 PA Practitioner - Nurse Practitioner 6800911355 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UP005570GPAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reading Hospital CurrentSince Sep 1, 2011 Accepting new patients
Reading Hospital CurrentSince Sep 1, 2011 Accepting new patients
Reading Hospital Current Accepting new patients
Tower Health Medical Group CurrentSince Jul 1, 2010 Accepting new patients
Tower Health Medical Group CurrentSince Jul 1, 2010 Accepting new patients
Tower Health Medical Group Current Accepting new patients

Locations

6 Spruce St
West Reading, PA 19611
Phone (484) 628-8269

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1679732820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S 6TH AVE",
            "address_2": "PO BOX 16052",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111426",
            "telephone_number": "610-988-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S 6TH AVE",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111426",
            "telephone_number": "610-988-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANNABECKER",
        "first_name": "SUZANNE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "UP005570G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "UP005570G",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Reading, PA

Sources for this page

Verify at the official NPI Registry.