Individual provider Active NPI

Victoria Jade Siemion, MSN, CRNP, FNP-BC

  • Family Nurse Practitioner
  • King of Prussia, PA
National Provider Identifier
1821732181
Registry record updated Apr 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP025149 Issued in PA
Practice address
860 1St Ave
King of Prussia, PA 19406-4033
Phone
(610) 265-1166
NPI assigned
Apr 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2022

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 SP025149 PA Primary

Addresses

Primary practice location

860 1St Ave
King of Prussia, PA 19406-4033

Mailing address

4479 Applebutter Rd
Perkasie, PA 18944-4308

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address victoria.siemion@schweigerderm.com Pennsylvania Centre for Dermatology, LLC

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
I20220601000069 PA Practitioner - Nurse Practitioner 9537547773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pennsylvania Centre for Dermatology, LLCGroup PAC ID 4183603335, 40 clinicians

Practice addresses (Care Compare)

822 Pine St
Philadelphia, PA 19107-6187
Phone (267) 519-0154

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Centre for Dermatology, LLC CurrentSince May 1, 2022 Accepting new patients

Locations

2701 Queens Plz N
Fl 10
Long Island City, NY 11101
Phone (203) 996-6379

860 1st Ave
Ste 8B
Kng of Prussa, PA 19406
Phone (610) 265-1166

1140 Welsh Rd
Ste 130
North Wales, PA 19454
Phone (215) 661-0300

822 Pine St
Ste 2A
Philadelphia, PA 19107
Phone (267) 519-0154

1900 Market St
Ste 115
Philadelphia, PA 19103
Phone (215) 666-7340

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": "1650672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650672000000",
    "number": "1821732181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4479 APPLEBUTTER RD",
            "city": "PERKASIE",
            "state": "PA",
            "postal_code": "189444308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 1ST AVE",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064033",
            "telephone_number": "610-265-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEMION",
        "first_name": "VICTORIA",
        "middle_name": "JADE",
        "credential": "MSN, CRNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-23",
        "last_updated": "2022-04-23",
        "certification_date": "2022-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP025149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "victoria.siemion@schweigerderm.com",
            "affiliation": "Y",
            "endpointDescription": "Company Email",
            "affiliationName": "Pennsylvania Centre for Dermatology, LLC",
            "address_1": "860 1st Ave",
            "city": "King Of Prussia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194064033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.