Gretchen Delone

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

RN639524 Issued in PA

Practice address

100 Yearsley Mill Rd
Media, PA 19063-5518

Phone

(489) 227-1476

NPI assigned

Jun 13, 2018

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

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PA Memory and Behavioral Care LLCGroup PAC ID 3476918558, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• PA Memory and Behavioral Care LLC

  • Geriatric Psychiatry Physician
  • Easton, PA
  • NPI 1437855855
  Medicare reassignment Care Compare group NPD
• Main Line Healthcare

  • Family Medicine Physician
  • Newtown Square, PA
  • NPI 1922077643
  Medicare reassignment NPD

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1932692043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 YEARSLEY MILL RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 YEARSLEY MILL RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635518",
            "telephone_number": "489-227-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELONE",
        "first_name": "GRETCHEN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "RN639524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE/ADDICTION (SUBSTANCE USE DISORDER)",
            "identifier": "163WA0400X",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delaware County S.a.G.E.
• Delaware County Surgical Associates P.C.
• Delco Gastroenterology
• Delco Gastroenterology P.C.
• Francis X Delone Jr., M.D.
• Madison Marie Delong
• Richard Demayo, MSW, LCSW
• Martin Dembitzer, PH.D.
• Elise Deming, RDN
• Denise Rageis LLC

• Addiction (Substance Use Disorder) Registered Nurse in Media, PA
• Providers in Media, PA by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.

Verify at the official NPI Registry.