Cecelia E Passanza, CRNP MSN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

VP003322C Issued in PA

Practice address

2300 Computer Rd
Suite H-39
Willow Grove, PA 19090-1752

Phone

(215) 657-5200

Fax

(215) 657-8083

NPI assigned

Aug 9, 2005

Last updated

Feb 5, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

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.

• University of Penn - Medical Group

  • Clinical Genetics (M.D.) Physician
  • Philadelphia, PA
  • NPI 1912014614
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517788800000",
    "number": "1821099383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 COMPUTER RD",
            "address_2": "SUITE H-39",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901752",
            "telephone_number": "215-657-5200",
            "fax_number": "215-657-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 COMPUTER RD",
            "address_2": "SUITE H-39",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901752",
            "telephone_number": "215-657-5200",
            "fax_number": "215-657-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSANZA",
        "first_name": "CECELIA",
        "middle_name": "E",
        "credential": "CRNP MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2018-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "VP003322C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103236163",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Paone
• Katelyn Park
• Yaena Park, D.O.
• Inessa Parkansky, MD
• Cynthia A Pascucci
• Path -to -Recovery LLC (Path To Recovery Home Care LLC)
• Maureen Patt-Bogut, P.A.
• Donna Lee Patterson, PHD CRNP
• Peaceful Journey Inc
• Wendy Pecorella, MD

• Adult Health Nurse Practitioner in Willow Grove, PA
• Providers in Willow Grove, PA by specialty
• Adult Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.