Individual provider Active NPI

Denise Jocelyn Gemzik Jemiola, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Harrisburg, PA
National Provider Identifier
1821563909
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP019382 Issued in PA
Practice address
3940 Locust LN
Harrisburg, PA 17109-4023
Phone
(800) 245-7277
NPI assigned
Oct 4, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP019382 PA Primary

Addresses

Primary practice location

3940 Locust LN
Harrisburg, PA 17109-4023

Mailing address

9 Ledgeview LN
Nicholson, PA 18446-8296
Phone (570) 479-6747

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
I20200814000055 PA Practitioner - Nurse Practitioner 6901222496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

395 Bedford St
Suite C
Clarks Summit, PA 18411-1805
Phone (570) 479-2398

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP019382PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Psychiatric Services, LLC Psychiatric/Mental Health CurrentSince Jul 1, 2020 Accepting new patients

Locations

395 Bedford St
Ste C
Clarks Summit, PA 18411
Phone (570) 815-5090

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1821563909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 LEDGEVIEW LN",
            "city": "NICHOLSON",
            "state": "PA",
            "postal_code": "184468296",
            "telephone_number": "570-479-6747",
            "fax_number": "717-651-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 LOCUST LN",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094023",
            "telephone_number": "800-245-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEMZIK JEMIOLA",
        "first_name": "DENISE",
        "middle_name": "JOCELYN",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP019382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.