Individual provider Active NPI

Judith B Gawlikowski, CRNP

  • Family Nurse Practitioner
  • West Grove, PA
National Provider Identifier
1790830412
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TP005346B Issued in PA
Practice address
455 Woodview Road
Suite 100
West Grove, PA 19390-9147
Phone
(610) 345-1900
Fax
(610) 345-1901
NPI assigned
Jan 24, 2007
Last updated
Feb 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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 TP005346B PA Primary

Addresses

Primary practice location

455 Woodview Road
Suite 100
West Grove, PA 19390-9147

Mailing address

455 Woodview Road
Suite 100
West Grove, PA 19390-9147
Phone (610) 345-1900

Other practice location 1

105 Vineyard Way
Suite 200
West Grove, PA 19390
Phone (610) 345-0020

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
I20080430000624 PA Practitioner - Nurse Practitioner 9234218330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

402 McFarlan Rd
Kennett Square, PA 19348-2453
Phone (610) 444-5678

777 Township Line Rd
Suite 200
Yardley, PA 19067-5564
Phone (215) 860-0775

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP005346BPAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Jun 1, 2015 Accepting new patients
Southern Chester County Family Practice Associates, P.C. Past Accepting new patients

Locations

404 McFarlan Rd
Ste 101
Kennett Square, PA 19348
Phone (610) 925-3835

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1790830412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 WOODVIEW ROAD",
            "address_2": "SUITE 100",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193909147",
            "telephone_number": "610-345-1900",
            "fax_number": "610-345-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 WOODVIEW ROAD",
            "address_2": "SUITE 100",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193909147",
            "telephone_number": "610-345-1900",
            "fax_number": "610-345-1901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Vineyard Way",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "West Grove",
            "state": "PA",
            "postal_code": "19390",
            "country_code": "US",
            "telephone_number": "610-345-0020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAWLIKOWSKI",
        "first_name": "JUDITH",
        "middle_name": "B",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "TP005346B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Grove, PA

Sources for this page

Verify at the official NPI Registry.