Active NPI
Corinne Rose Gercken, PA-C
- Physician Assistant
- Conshohocken, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 400 Fayette St Ste 180
Conshohocken, PA 19428-2186 - Phone
- (833) 348-6937
- NPI assigned
- Mar 25, 2022
- Last updated
- May 21, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
400 Fayette St Ste 180
Conshohocken, PA 19428-2186
Mailing address
1111 Macbeth CT
Bel Air, MD 21015-1573
Phone (443) 866-2556
Other practice location 1
4808 Edgmont Ave
Brookhaven, PA 19015-1400
Phone (610) 876-3072
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1840 S St
Philadelphia, PA 19146-7411
Phone (215) 893-7085
3400 Spruce St
Philadelphia, PA 19104-4206
3400 Spruce Street 5 White BLDG
Oral and Maxillofacial Surgery Hup
Philadelphia, PA 19104-4206
Phone (215) 829-6079
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medexpress Urgent Care, PC - Pennsylvania | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Medexpress Urgent Care, PC - Pennsylvania | Current | Accepting new patients |
Locations
4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072
1800 Lombard St
Philadelphia, PA 19146
Phone (215) 545-4173
7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278
Organizations & group practices 8
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.
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1235527342
-
dba AFC Urgent Care
- Urgent Care Clinic/Center
- Downingtown, PA
- NPI 1902128721
-
- Emergency Medicine Physician
- Douglassville, PA
- NPI 1194293647
-
- Emergency Medicine Physician
- Pittsburgh, PA
- NPI 1982839031
-
dba MedExpress Urgent Care - North Huntingdon
- Urgent Care Clinic/Center
- North Huntingdon, PA
- NPI 1043583602
-
dba MedExpress Urgent Care - St. Clair, Clover Dr
- Urgent Care Clinic/Center
- Saint Clair, PA
- NPI 1720545320
-
- Colon & Rectal Surgery Physician
- Philadelphia, PA
- NPI 1154719276
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phila, PA
- NPI 1063489342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716249600000",
"number": "1811647696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 MACBETH CT",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210151573",
"telephone_number": "443-866-2556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 FAYETTE ST STE 180",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194282186",
"telephone_number": "833-348-6937"
}
],
"practiceLocations": [
{
"address_1": "4808 Edgmont Ave",
"address_purpose": "LOCATION",
"city": "Brookhaven",
"state": "PA",
"postal_code": "190151400",
"country_code": "US",
"telephone_number": "610-876-3072",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GERCKEN",
"first_name": "CORINNE",
"middle_name": "ROSE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-25",
"last_updated": "2024-05-21",
"certification_date": "2024-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conshohocken, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.