Individual provider Active NPI

Caroline Jane Garrison, CRNP

  • Women's Health Nurse Practitioner
  • Allentown, PA
National Provider Identifier
1700412103
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
SP021678 Issued in PA
Practice address
3050 Hamilton Blvd Ste 200
Allentown, PA 18103-3691
Phone
(610) 435-9575
NPI assigned
Mar 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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 SP021678 PA Primary

Addresses

Primary practice location

3050 Hamilton Blvd Ste 200
Allentown, PA 18103-3691

Mailing address

388 Essex CT
Perkasie, PA 18944-1284

Other practice location 1

1010 Horsham Rd Ste 101
North Wales, PA 19454-1500
Phone (215) 855-4713

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
I20200625002502 PA Practitioner - Nurse Practitioner 1850713546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Womens Health Group LLCGroup PAC ID 2961316328, 352 clinicians

Practice addresses (Care Compare)

3050 Hamilton Blvd
Suite 200
Allentown, PA 18103-3691
Phone (610) 435-9575

Merit-based Incentive Payment System (MIPS)

Final score
73.63 of 100Reported as individual
Quality
46.79
Promoting interoperability
98
Improvement activities
40
Cost
66.96

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Womens Health Group LLC CurrentSince Nov 1, 2021 Accepting new patients
FPM Urogynecology Center, LLC Past Accepting new patients

Locations

3050 Hamilton Blvd
Ste 200
Allentown, PA 18103
Phone (610) 435-9575

919 Conestoga Rd
Ste 104
Bryn Mawr, PA 19010
Phone (610) 525-6400

1010 Horsham Rd
Ste 101
North Wales, PA 19454
Phone (215) 830-8700

Interoperability endpoints

  • Direct secure messaging: caroline.garrison@axia.eclinicaldirectplus.com

Organizations & group practices 2

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": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1700412103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 ESSEX CT",
            "city": "PERKASIE",
            "state": "PA",
            "postal_code": "189441284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 HAMILTON BLVD STE 200",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033691",
            "telephone_number": "610-435-9575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Horsham Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "North Wales",
            "state": "PA",
            "postal_code": "194541500",
            "country_code": "US",
            "telephone_number": "215-855-4713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "CAROLINE",
        "middle_name": "JANE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "SP021678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.