Individual provider Active NPI

Danielle Johnson, CRNP

  • Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1780349472
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP024771 Issued in PA
Practice address
5000 Frankford Ave
Philadelphia, PA 19124
Phone
(267) 819-1500
NPI assigned
Nov 8, 2021
Last updated
Oct 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP024771 PA Primary

Addresses

Primary practice location

5000 Frankford Ave
Philadelphia, PA 19124

Mailing address

990 Cressman Rd
Schwenksville, PA 19473

Other practice location 1

1000 Gravel Pike Ste 100
Schwenksville, PA 19473-2364
Phone (484) 873-3071

Other names 1

  • Danielle Scott Former name

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
I20220427000103 PA Practitioner - Nurse Practitioner 3476940214 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Perry Medical Group of Florida PAGroup PAC ID 8729481197, 15 clinicians

Practice addresses (Care Compare)

990 Cressman Rd
Schwenksville, PA 19473-2024
Phone (978) 850-3914

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Perry Medical Group of New Jersey PA CurrentSince Apr 9, 2024 Accepting new patients
Perry Medical Group of Florida PA CurrentSince Dec 12, 2023 Accepting new patients
EMS Telemedicine CurrentSince Nov 1, 2021 Accepting new patients
Cloud Health Medical Group of New Jersey, P.C. Past Accepting new patients

Locations

1000 Gravel Pike
Ste 100
Schwenksville, PA 19473
Phone (484) 873-3045

Organizations & group practices 4

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": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1780349472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 CRESSMAN RD",
            "city": "SCHWENKSVILLE",
            "state": "PA",
            "postal_code": "19473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19124",
            "telephone_number": "267-819-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Gravel Pike Ste 100",
            "address_purpose": "LOCATION",
            "city": "Schwenksville",
            "state": "PA",
            "postal_code": "194732364",
            "country_code": "US",
            "telephone_number": "484-873-3071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DANIELLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP024771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "SCOTT",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.