Individual provider Active NPI

Denise M Feeley, CRNP

  • Gerontology Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1780950071
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP011929 Issued in PA
Practice address
3400 Spruce Street
Ground Floor Ravdin
Philadelphia, PA 19104
Phone
(215) 662-6698
NPI assigned
Mar 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP011929 PA
Gerontology Nurse Practitioner 363LG0600X SP011929 PA Primary

Addresses

Primary practice location

3400 Spruce Street
Ground Floor Ravdin
Philadelphia, PA 19104

Mailing address

3400 Spruce Street
3 Ravdin BLDG. Ste. F
Philadelphia, PA 19104-4206
Phone (215) 662-3202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120517000029 PA Practitioner - Nurse Practitioner 5890958532 Reassigns benefits to 3 organizations
I20180521000058 DE Practitioner - Nurse Practitioner 5890958532 Reassigns benefits to 6 organizations
I20241104000470 NJ Practitioner - Nurse Practitioner 5890958532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians

Practice addresses (Care Compare)

161 Wilmington W Chester Pike
CCHS Concord PCP
Chadds Ford, PA 19317-9041
Phone (610) 361-1060

501 W 14TH St
Wilmington, DE 19801-1013
Phone (302) 320-4410

501 W 14TH St Wilmington Hospital
CCHS Diabetes and Metabolic
Wilmington, DE 19801-1013
Phone (302) 661-3070

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.91 of 100Reported as group
Quality
73.58
Promoting interoperability
100
Improvement activities
40
Cost
76.13

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as apm
Quality
79.77
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP011929PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Physician Services of Maryland, PC CurrentSince May 1, 2018 Accepting new patients
University of Penn-Medical Group CurrentSince Apr 13, 2015 Accepting new patients
Christianacare Virtual Health Practice PA CurrentSince Nov 11, 2024 Accepting new patients
Atlantic Physician Services of Maryland, P.C. Nurse Practitioner CurrentSince May 1, 2018 Accepting new patients
Christiana Care Health Services Inc Nurse Practitioner CurrentSince Feb 5, 2026 Accepting new patients
University of Penn - Medical Group Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Nov 11, 2024 Accepting new patients
Christianacare Virtual Health Practice PA Nurse Practitioner CurrentSince Nov 11, 2024 Accepting new patients
Christiana Care Quality Partners CurrentSince Dec 14, 2020 Accepting new patients
University of Penn - Medical Group CurrentSince Mar 15, 2021 Accepting new patients
Emergency Physician Associates of Delaware PC CurrentSince Sep 1, 2024 Accepting new patients
Christiana Care Health Services Inc Current Accepting new patients
Atlanticare Physician Group PA CurrentSince Jul 26, 2024 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Jul 26, 2024 Accepting new patients
Christiana Care Health Services Inc CurrentSince Nov 11, 2024 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Nov 11, 2024 Accepting new patients
Christiana Care Quality Partners PastSince Aug 1, 2021 Accepting new patients
Atlanticare Urgent Care Physicians LLC Past Accepting new patients

Locations

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

501 W 14th St
#4
Wilmington, DE 19801
Phone (302) 661-3070

4000 Nexus Dr
Ste NE3100
Wilmington, DE 19803
Phone (302) 320-9771

3506 Kennett Pike
Wilmington, DE 19807
Phone (302) 661-3000

4724 Limestone Rd
Wilmington, DE 19808
Phone (302) 467-3595

900 Route 109
Cape May, NJ 08204
Phone (609) 884-4357

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

161 Wilmington W Chester Pike
Chadds Ford, PA 19317
Phone (610) 361-1060

161 Wilmington W Chester Pike
#P
Chadds Ford, PA 19317
Phone (610) 361-1042

3400 Spruce St
Ste F
Philadelphia, PA 19104
Phone (215) 662-3823

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

Interoperability endpoints

  • Direct secure messaging: dfeeley2020337@direct.trinity-health.org

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 1

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": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1780950071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE STREET",
            "address_2": "3 RAVDIN BLDG. STE. F",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206",
            "telephone_number": "215-662-3202",
            "fax_number": "215-349-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE STREET",
            "address_2": "GROUND FLOOR RAVDIN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-662-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEELEY",
        "first_name": "DENISE",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-30",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP011929",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP011929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.