Individual provider Active NPI

Debra Phyllis Raffo, NP

  • Gerontology Nurse Practitioner
  • Center Valley, PA
National Provider Identifier
1821532912
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP01729 Issued in PA
Practice address
3477 Corporate Pkwy Ste 100
Center Valley, PA 18034-8237
Phone
(484) 626-0480
Fax
(484) 896-9002
NPI assigned
Dec 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AG1016144 NJ
Gerontology Nurse Practitioner 363LG0600X SP01729 PA Primary

Addresses

Primary practice location

3477 Corporate Pkwy Ste 100
Center Valley, PA 18034-8237

Mailing address

1 E Broad St Ste 130
Bethlehem, PA 18018-5934
Phone (484) 626-0480

Other names 1

  • Ms. Debra Phyllis Raffo Former name

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
I20180905000038 PA Practitioner - Nurse Practitioner 6507114691 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RFVW Healthcare, PCGroup PAC ID 1153866900, 33 clinicians
Rosenfeld Vanwirt PCGroup PAC ID 5698909117, 29 clinicians

Practice addresses (Care Compare)

3477 Corporate Pkwy
Suite 100
Center Valley, PA 18034-8237
Phone (484) 626-0480

Hospital & facility affiliations

  • Vitality Hospice and Palliative Care Hospice, Langhorne, PA, CCN 731506
  • St Luke'S Hospital - Upper Bucks Campus Hospital, Quakertown, PA, CCN 390035
  • Lifequest Nursing Center Nursing home, Quakertown, PA, CCN 395735

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AG1016144NJMDGerontology Nurse Practitioner
SP01729PAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alignmed Partners, PC CurrentSince Mar 1, 2020 Accepting new patients
RFVW Healthcare PC CurrentSince Sep 1, 2024 Accepting new patients
Rosenfeld Vanwirt PC CurrentSince Feb 24, 2020 Accepting new patients
Geps Physician Group of Pennsylvania PC Gerontology CurrentSince Mar 1, 2020 Accepting new patients
Geps Physician Group of Pennsylvania, PC CurrentSince Mar 1, 2020 Accepting new patients
Alignmed Medical Group, PC CurrentSince Oct 19, 2024 Accepting new patients
Hospitalist Medicine Physicians of Pennsylvania, P.C. CurrentSince Dec 1, 2023 Accepting new patients
Albert Gallatin Home Care and Hospice Services, LLC Past Accepting new patients

Locations

1605 N Cedar Crest Blvd
Ste 110B
Allentown, PA 18104
Phone (610) 973-1410

1 E Broad St
Ste 130
Bethlehem, PA 18018

3477 Corporate Pkwy
Ste 100
Center Valley, PA 18034
Phone (484) 626-0480

3477 Corporate Pkwy
Center Valley, PA 18034
Phone (484) 614-5264

3485 Davisville Rd
Hatboro, PA 19040
Phone (215) 830-0400

100 Abbeyville Rd
Lancaster, PA 17603
Phone (717) 397-4261

1718 Spring Creek Rd
Macungie, PA 18062
Phone (610) 366-0500

1194 Naamans Creek Rd
Marcus Hook, PA 19060
Phone (610) 358-6005

2450 Route 663
Quakertown, PA 18951
Phone (215) 529-6216

1320 Mill Rd
Quakertown, PA 18951
Phone (215) 536-7666

5501 Perkiomen Ave
Reading, PA 19606
Phone (610) 779-0600

1 S Home Ave
Topton, PA 19562
Phone (610) 682-1275

1368 Mall Run Rd
Ste 628
Uniontown, PA 15401
Phone (724) 438-6660

800 W Miner St
West Chester, PA 19382
Phone (484) 920-6200

559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000

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 and National Provider Directory roles.

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": "1481155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1821532912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E BROAD ST STE 130",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185934",
            "telephone_number": "484-626-0480",
            "fax_number": "484-896-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3477 CORPORATE PKWY STE 100",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180348237",
            "telephone_number": "484-626-0480",
            "fax_number": "484-896-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFFO",
        "first_name": "DEBRA",
        "middle_name": "PHYLLIS",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-08",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "AG1016144",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP01729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "RAFFO",
            "middle_name": "PHYLLIS",
            "prefix": "MS.",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Center Valley, PA

Sources for this page

Verify at the official NPI Registry.