CMS-1500 Box 24J / 33a • NPI
1063797330
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LA2200X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health
Box 32 Service Location & ZIP+4
3621 ARAMINGO AVE STE 5C, PHILADELPHIA, PA, 19134-4607
✓ 9-Digit EDI 837 ZIP+4 (19134-4607)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1063797330 (KAREN DETWEILER, ANP-BC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1063797330)
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Atorvastatin Calcium Atorvastatin Calcium | 54 | <11 |
| Famotidine Famotidine | 49 | <11 |
| Furosemide Furosemide | 50 | <11 |
| Incruse Ellipta Umeclidinium Bromide | 13 | <11 |
| Pantoprazole Sodium Pantoprazole Sodium | 15 | <11 |
| Trazodone Hcl Trazodone Hcl | 50 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1063797330 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KAREN DETWEILER, ANP-BC |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health NUCC Code: 363LA2200X (Nurse Practitioner, Adult Health) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 3621 ARAMINGO AVE STE 5C, PHILADELPHIA, PA, 19134-4607 |
| Practice Telephone / Fax | Tel: (215) 444-7472 |
| Administrative Mailing Address | PO BOX 746722, ATLANTA, GA, 30374-6722 |
| Enumeration & Last Sync | Enumerated: 2011-10-18 | CMS Record Updated: 2025-08-20 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LA2200X)
What Does Taxonomy Code 363LA2200X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LA2200X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KAREN DETWEILER, ANP-BC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363LA2200X — Nurse Practitioner, Adult HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health | State: PA | License: SP011606 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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