Julian K Derr is a Adult Health Nurse Practitioner practicing in Wyomissing, Pennsylvania. The National Provider Identifier (NPI) is #1215406293, which was assigned on November 19, 2018, and the registration record was last updated on November 19, 2018. The practitioner's main practice location is at 2605 Keiser Blvd, Wyomissing, PA 19610-3338; the contact telephone number is 6106858500, and the fax number is 6106854833. The primary taxonomy of Julian K Derr is Adult Health Nurse Practitioner (363LA2200X), with specialization in Adult Health. Julian K Derr is licensed to practice in the state of Pennsylvania (#SP019006).
| NPI | 1215406293 |
| Entity Type | Individual |
| Provider Name | JULIAN K DERR |
| Other Name |
JULIAN KELLER (Former Name) |
| Gender | Female |
| Credential | CRNP |
| Practice Address |
2605 Keiser Blvd Wyomissing PA 19610-3338 |
| Practice Telephone | 6106858500 |
| Practice Fax Number | 6106854833 |
| Mailing Address |
Po Box 448 East Petersburg PA 17520-0448 |
| Mailing Telephone | 7173917092 |
| Mailing Fax Number | 7177352069 |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2018-11-19 |
| Is Sole Proprietor | N |
| PAC ID |
4587902937 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | JULIAN K DERR |
| Primary Specialty | NURSE PRACTITIONER |
| Organization Legal Name | PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC |
| Address |
One Norwegian Plaza 302 Penn State Health Medical Group Berks Cardiology Pottsville PA 17901 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner | Adult Health | SP019006 | PA |
| Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: Definition to come... |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Iowa Wellness Clinic PLLC | 430 B Ave Ne, Walford, IA 52351-8018 | Adult Health Nurse Practitioner | 2024-03-27 |
| Emily Graves | 1900 N Higley Rd, Gilbert, AZ 85234-1604 | Adult Health Nurse Practitioner | 2024-03-29 |
| Sarah Hy | 5959 Big Tree Rd, Orchard Park, NY 14127-2291 | Adult Health Nurse Practitioner | 2024-03-25 |
| Chloe Ricciardi · Chloe Sneyer | 41 Brentwood Dr, Verona, NJ 07044-2518 | Adult Health Nurse Practitioner | 2024-03-22 |
| Praise Po-Sze Lam | 900 Blake Wilbur Dr, Palo Alto, CA 94304-2201 | Adult Health Nurse Practitioner | 2024-03-20 |
| Lauren Elizabeth Powell | 171 Ashley Ave, Charleston, SC 29425-0100 | Adult Health Nurse Practitioner | 2024-04-04 |
| Lindsay Grissett Curran | 3811 E Bell Rd Ste 309, Phoenix, AZ 85032-2160 | Adult Health Nurse Practitioner | 2024-03-21 |
| Eugenia Naa Korkoi Hesse | 7709 Enfield Ave Apt 202, Norfolk, VA 23505-1929 | Adult Health Nurse Practitioner | 2024-04-05 |
| Jessica Lindsey Harper-Bischof | 1032 Luke St Ste 1, Fort Collins, CO 80524-4037 | Adult Health Nurse Practitioner | 2024-04-05 |
| Lyndsay Zsiros | 206 S Elmwood Ave, Buffalo, NY 14201-2398 | Adult Health Nurse Practitioner | 2024-04-02 |
| Find all providers with the same taxonomy | |||
| Street Address |
2605 KEISER BLVD |
| City | WYOMISSING |
| State | PA |
| Zip Code | 19610-3338 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Tara Lynn Dimino | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 | Cardiovascular Disease Physician | 2006-12-01 |
| Guy N Piegari Jr. | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 | Cardiovascular Disease Physician | 2005-10-26 |
| Charles R Minehart | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 | Cardiovascular Disease Physician | 2005-10-26 |
| Vincent Pinelli | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 | Internal Medicine Physician | 2012-03-26 |
| Nicola Bitetto | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 | Cardiovascular Disease Physician | 2005-10-26 |
| Berks Cardiologists Ltd | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 | Cardiovascular Disease Physician | 2005-11-01 |
| Frank E Politzer | 2605 Keiser Blvd, Wyomissing, PA 19610 | Cardiovascular Disease Physician | 2005-10-26 |
| Brenda Kauffman Kozak · Brenda S Kauffman | 2605 Keiser Blvd, Wyomissing, PA 19610 | Adult Health Nurse Practitioner | 2006-05-23 |
| Salih Nigel Grevious | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 | Cardiovascular Disease Physician | 2015-03-25 |
| Jamie Evans | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 | Gerontology Nurse Practitioner | 2020-07-30 |
| Find all providers in the same location | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Christopher Brian Rogers | 2605 Keiser Boulevard, Wyomissing, PA 19610-3338 | Clinical Cardiac Electrophysiology Physician | 2005-08-16 |
| Tracy Nicole Clouser · Tracy Nicole Donatelli | 2607 Keiser Blvd, Wyomissing, PA 19610-3338 | Family Nurse Practitioner | 2018-02-02 |
| John V Lamanna | 2607 Keiser Blvd, Suite 100, Reading, PA 19610-3338 | Plastic Surgery Physician | 2005-11-17 |
| Jaime Lyn Schrenk | 2607 Keiser Blvd, Wyomissing, PA 19610-3338 | Family Medicine Physician | 2006-12-27 |
| Nicole M. Strohl | 2607 Keiser Blvd, Wyomissing, PA 19610-3338 | Family Medicine Physician | 2010-06-30 |
| Lloyd M Wolf IIi | 2607 Keiser Blvd, Wyomissing, PA 19610-3338 | Internal Medicine Physician | 2005-07-07 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Stacey Oberhauser · Stacey Ann Kunkel | Center for Urologic Care of Berks County, 1320 Broadcasting Road, Suite 200, Wyomissing, PA 19610 | Urology Physician | 2020-01-10 |
| Michelle Gatto | 1011 Reed Avenue, Suite 900, Wyomissing, PA 19610 | Behavioral Analyst | 2017-07-21 |
| Kathryn Ann Hopper | 714 Woodland Rd, Wyomissing, PA 19610 | Student in an Organized Health Care Education/Training Program | 2019-05-27 |
| Jennifer Lynn Lancaster | 40 Berkshire Court, Wyomissing, PA 19610 | Pediatric Nurse Practitioner | 2013-11-19 |
| Paulette Roberson | 1120 C Hobart Ave, Wyomissing, PA 19610 | Social Worker | 2013-01-25 |
| Dermatology - Tower Health Medical Group | 1001 Reed Ave Ste 402, Wyomissing, PA 19610 | Dermatology Physician | 2014-03-04 |
| Eric Angstadt | 85 Commerce Drive, Wyomissing, PA 19610 | General Practice Dentistry | 2017-06-08 |
| Heather Claudette Meyer | 50 Berkshire Ct Ste 250, Wyomissing, PA 19610 | Hearing Instrument Specialist | 2016-04-19 |
| Patient First Pennsylvania Medical Group · Patient First Wyomissing | 2600 Paper Mill Road, Wyomissing, PA 19610 | Non-Pharmacy Dispensing Site | 2012-07-18 |
| Aparna Susan Daley | 1030 Reed Avenue, Suite 108, Wyomissing, PA 19610 | Student in an Organized Health Care Education/Training Program | 2015-05-20 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Ashley Julian Kolrud · Ashley Ann Julian | 2227 Highland Ave, Everett, WA 98201-2633 | Family Nurse Practitioner | 2024-02-27 |
| Susan Anne Julian Edwards | 2401 S 31st St, Temple, TX 76508-2111 | Occupational Therapist | 2008-04-16 |
| Charles Julian Billings Sr. · C Julian Billings Sr. | 119 Longwood Dr Sw, Huntsville, AL 35801-4522 | Gastroenterology Physician | 2006-06-27 |
| Jamal Julian Zaka · Julian Lorrain Williams | 130 La Casa Via, #208, Walnut Creek, CA 94598-3045 | Critical Care Medicine (Internal Medicine) Physician | 2008-03-10 |
| Julian F Keith Alcohol and Drug Abuse Treatment Center | 201 Tabernacle Rd, Black Mountain, NC 28711-2526 | Community/Behavioral Health Agency | 2020-10-20 |
| Julian Robert Fuentes · Julian Roberto Fuentes IIi | 3330 Churn Creek Rd Ste D4, Redding, CA 96002-2532 | Family Medicine Physician | 2006-03-20 |
| Julian Alberto-Delgado · Julian A Delgado | 2525 N Chester Ave, Bakersfield, CA 93308-1770 | Marriage & Family Therapist | 2022-06-07 |
| Eredulin V Julian · Julian's Adult Foster Family Home | 17-202 Ipuaiwaha St, Keaau, HI 96749-8229 | Adult Care Home Facility | 2011-11-30 |
| Julian Ramsey Mellette Jr. · Julian Mellette Jr. | 12605 E 16th Ave, Aurora, CO 80045-2545 | MOHS-Micrographic Surgery Physician | 2006-09-30 |
| Kelly Julian O'Brien · Kelly Anne Julian | 101 Manning Dr, G0303 Neurosciences Hospital, Chapel Hill, NC 27514-4220 | Speech-Language Pathologist | 2007-05-02 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |