Individual provider Active NPI

Catherine Dimotsis-Schaefer

  • Family Nurse Practitioner
  • Zieglersville, PA
National Provider Identifier
1760993893
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP017976 Issued in PA
Practice address
1206 N Gravel Pike
Zieglersville, PA 19492-9727
Phone
(610) 287-1032
NPI assigned
Oct 16, 2017
Last updated
Nov 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP017976 PA Primary

Addresses

Primary practice location

1206 N Gravel Pike
Zieglersville, PA 19492-9727

Mailing address

1206 N Gravel Pike
Zieglersville, PA 19492-9727
Phone (610) 287-1032

Other practice location 1

835 Old York Rd
Jenkintown, PA 19046-1601
Phone (215) 886-2923

Other practice location 2

55 Park Ave
Collegeville, PA 19426-2629
Phone (610) 409-2604

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
I20180122000161 PA Practitioner - Nurse Practitioner 3173882172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Pennsylvania LLCGroup PAC ID 5395827307, 84 clinicians

Practice addresses (Care Compare)

835 Old York Rd
Jenkintown, PA 19046-1601
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP017976PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Pennsylvania LLC Family CurrentSince Dec 5, 2017 Accepting new patients

Locations

1218 E Lancaster Ave
Bryn Mawr, PA 19010
Phone (610) 519-1920

55 Park Ave
Collegeville, PA 19426
Phone (215) 603-7656

835 Old York Rd
Jenkintown, PA 19046
Phone (215) 277-9003

840 S Valley Forge Rd
Lansdale, PA 19446
Phone (215) 362-6303

1206 N Gravel Pike
Zieglerville, PA 19492
Phone (610) 287-1032

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

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": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1760993893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 N GRAVEL PIKE",
            "city": "ZIEGLERSVILLE",
            "state": "PA",
            "postal_code": "194929727",
            "telephone_number": "610-287-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 N GRAVEL PIKE",
            "city": "ZIEGLERSVILLE",
            "state": "PA",
            "postal_code": "194929727",
            "telephone_number": "610-287-1032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "835 Old York Rd",
            "address_purpose": "LOCATION",
            "city": "Jenkintown",
            "state": "PA",
            "postal_code": "190461601",
            "country_code": "US",
            "telephone_number": "215-886-2923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Collegeville",
            "state": "PA",
            "postal_code": "194262629",
            "country_code": "US",
            "telephone_number": "610-409-2604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMOTSIS-SCHAEFER",
        "first_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zieglersville, PA

Sources for this page

Verify at the official NPI Registry.