Individual provider Active NPI

Gabrielle C Wasser, CRNP

  • Acute Care Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1730696972
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP018431 Issued in PA
Practice address
800 Walnut St FL 9
Philadelphia, PA 19107-5176
Phone
(215) 829-8713
Fax
(215) 829-5350
NPI assigned
Jan 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN617170 PA
Acute Care Nurse Practitioner 363LA2100X SP018431 PA Primary

Addresses

Primary practice location

800 Walnut St FL 9
Philadelphia, PA 19107-5176

Mailing address

800 Walnut St FL 9
Philadelphia, PA 19107-5176
Phone (215) 829-8713

Other practice location 1

900 Walnut St
Philadelphia, PA 19107-5191
Phone (215) 955-6161

Other practice location 2

132 S 10th St
Philadelphia, PA 19107-5244
Phone (610) 246-8599

Other practice location 3

111 S 11th St Ste 8190
Philadelphia, PA 19107-4824
Phone (215) 955-6161

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gwasser164230@direct-guthrie.org Direct

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
I20180921000073 PA Practitioner - Nurse Practitioner 8820349467 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN617170PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. Current Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Dec 1, 2020 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Jefferson University Physicians CurrentSince Aug 6, 2018 Accepting new patients
University of Penn-Medical Group CurrentSince Oct 24, 2022 Accepting new patients
Main Line Healthcare CurrentSince Mar 25, 2019 Accepting new patients
University of Penn-Medical Group CurrentSince Oct 24, 2022 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Dec 1, 2020 Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

1100 Walnut St
Fl 5
Philadelphia, PA 19107
Phone (215) 955-6750

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

111 S 11th St
Ste 8190
Philadelphia, PA 19107
Phone (215) 955-6161

132 S 10th St
Philadelphia, PA 19107
Phone (215) 955-6028

900 Walnut St
Philadelphia, PA 19107
Phone (215) 503-8080

800 Walnut St
Fl 9
Philadelphia, PA 19107
Phone (215) 829-5027

800 Walnut St
Philadelphia, PA 19107
Phone (215) 454-3218

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Organizations & group practices 8

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": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1730696972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WALNUT ST FL 9",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075176",
            "telephone_number": "215-829-8713",
            "fax_number": "215-829-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WALNUT ST FL 9",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075176",
            "telephone_number": "215-829-8713",
            "fax_number": "215-829-5350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191075191",
            "country_code": "US",
            "telephone_number": "215-955-6161",
            "fax_number": "215-923-5507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "132 S 10th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191075244",
            "country_code": "US",
            "telephone_number": "610-246-8599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 S 11th St Ste 8190",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191074824",
            "country_code": "US",
            "telephone_number": "215-955-6161",
            "fax_number": "215-923-5507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASSER",
        "first_name": "GABRIELLE",
        "middle_name": "C",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN617170",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP018431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gwasser164230@direct-guthrie.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1 Guthrie Sq",
            "city": "Sayre",
            "state": "PA",
            "country_code": "US",
            "postal_code": "188401625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.