Active NPI
Zachary Tanner, CRNP
- Family Nurse Practitioner
- Phoenixville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP028932
- Practice address
- 824 Main St Ste 306
Phoenixville, PA 19460-4478 - Phone
- (610) 983-1941
- NPI assigned
- Feb 21, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP028932 | PA | Primary |
Addresses
Primary practice location
824 Main St Ste 306
Phoenixville, PA 19460-4478
Mailing address
PO Box 13579
Reading, PA 19612-3579
Phone (484) 628-1324
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240401001586 | PA | Practitioner - Nurse Practitioner | 6901244623 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
140 Nutt Rd
Phoenixville, PA 19460-3906
Phone (610) 983-1000
1600 E High St
Pottstown, PA 19464-5008
Phone (610) 327-7440
296 W Ridge Pike
Cardiology Limerick THMG
Royersford, PA 19468-1790
Phone (484) 973-6045
420 W Linfield Trappe Rd
Suite 2100
Limerick, PA 19468-4276
Phone (484) 659-1700
824 Main St
Suite 306
Phoenixville, PA 19460-4478
Phone (610) 983-1941
Hospital & facility affiliations
- Pottstown Hospital
- Phoenixville Hospital
- Reading Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenixville Clinic Company LLC | Current | Accepting new patients | |
| Phoenixville Clinic Company LLC | Current | Accepting new patients | |
| Phoenixville Clinic Company LLC | Current | Accepting new patients |
Locations
824 Main St
Ste 302
Phoenixville, PA 19460
Phone (610) 917-9551
824 Main St
Ste 306
Phoenixville, PA 19460
Phone (610) 983-1530
140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000
296 W Ridge Pike
Royersford, PA 19468
Phone (484) 706-9465
420 W Linfield Trappe Rd
Ste 2100
Royersford, PA 19468
Phone (610) 495-2510
Interoperability endpoints
- https://api.platform.athenahealth.com/1606/brand/1/csg/101/fhir/r4
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 and National Provider Directory roles.
-
- Neurology Physician
- Phoenixville, PA
- NPI 1275173957
-
- Vascular Surgery Physician
- Limerick, PA
- NPI 1790746345
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708473600000",
"number": "1780449488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13579",
"city": "READING",
"state": "PA",
"postal_code": "196123579",
"telephone_number": "484-628-1324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 MAIN ST STE 306",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194604478",
"telephone_number": "610-983-1941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNER",
"first_name": "ZACHARY",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-21",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP028932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenixville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.