NPIMap

Individual provider Active NPI

Nicole Dellacroce, FNP-BC

  • Family Nurse Practitioner
  • Wyomissing, PA
National Provider Identifier
1982370417
Registry record updated Jan 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP024186 Issued in PA
Practice address
2603 Keiser Blvd Ste 104
Wyomissing, PA 19610-3341
Phone
(484) 628-4656
NPI assigned
Aug 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2024

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 SP024186 PA Primary

Addresses

Primary practice location

2603 Keiser Blvd Ste 104
Wyomissing, PA 19610-3341

Mailing address

2603 Keiser Blvd Ste 104
Wyomissing, PA 19610-3341
Phone (484) 628-4656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220713000562 PA Practitioner - Nurse Practitioner 0345621074 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
H2 Rehabilitation Extension Services LLCGroup PAC ID 6406131622, shared by 5 NPIs, 161 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Reading HospitalGroup PAC ID 7618886490, 179 clinicians

Practice addresses (Care Compare)

137 Montgomery Ave
Suite 205
Boyertown, PA 19512-1300
Phone (484) 658-3150

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

301 S 7TH Ave
Suite 3020
West Reading, PA 19611-1494
Phone (484) 628-4656

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.1 of 100Reported as group
Quality
77.19
Promoting interoperability
98
Improvement activities
40
Cost
79.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP024186PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reading Hospital CurrentSince Jul 25, 2022 Accepting new patients
Reading Hospital CurrentSince Jul 25, 2022 Accepting new patients
Reading Hospital Current Accepting new patients
Reading Professional Services Past Accepting new patients

Locations

420 W Linfield Trappe Rd
Bldg A
Royersford, PA 19468

301 S 7th Ave
Ste 3020
West Reading, PA 19611
Phone (484) 628-4656

301 S 7th Ave
Ste 210
West Reading, PA 19611
Phone (484) 628-4656

206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437

2603 Keiser Blvd
Ste 104
Wyomissing, PA 19610
Phone (484) 628-3150

Organizations & group practices 4

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 7

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": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704067200000",
    "number": "1982370417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 KEISER BLVD STE 104",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103341",
            "telephone_number": "484-628-4656",
            "fax_number": "484-628-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 KEISER BLVD STE 104",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103341",
            "telephone_number": "484-628-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLACROCE",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2024-01-01",
        "certification_date": "2024-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP024186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.