1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Nurse Practitioner
  6. NPI Profile

GAVIN VILLACORTA CRNP
NPI 1093411688
Nurse Practitioner in Philadelphia, PA

Active since February 06, 2023PECOS EnrolledAccepts Medicare Assignment
330 S 9TH ST, PHILADELPHIA, PA 19107(215) 829-6500(215) 829-6606 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gavin Villacorta Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GAVIN VILLACORTA CRNP (NPI 1093411688) is an individual nurse practitioner in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP027036) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1093411688
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameGAVIN VILLACORTACredential: CRNP
Location Address330 S 9TH STPhiladelphia, PA 19107-6103
Mailing Address330 S 9th StPhiladelphia, PA 19107-6103
Phone(215) 829-6500
Fax(215) 829-6606
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 6, 2023
NPPES CertifiedFebruary 4, 2023
✔ NPI 1093411688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP027036
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
330 S 9TH ST, Philadelphia, PA 19107
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gavin Villacorta Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749654218
PECOS Enrollment IDI20230323002046
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
444 services329 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
70 services67 patients
Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator 95970
This procedure involves using electronic devices to analyze the function of a neurostimulator - a device implanted in your brain, spinal cord, or peripheral nerves. It helps monitor and adjust the device's settings for optimal performance and patient comfort.
16 services14 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden County
Emergency services Birthing friendly

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NABILA A DAHODWALA MD
Psychiatry & Neurology (Neurology)
330 S 9TH ST, 2ND FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-6708
MRS. GWYN M. VERNON MSN, CRNP
Nurse Practitioner (Family)
330 S 9TH ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-6500
DR. EVAN CORY ROSENBERG MD, PHD
Psychiatry & Neurology (Neurology)
330 S 9TH ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-6500
MS. RACHEL ANN PAUL MS
Genetic Counselor, MS
330 S 9TH ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-6500
DR. ESTEBAN LUNA MD/ PHD
Psychiatry & Neurology (Neurology)
330 S 9TH ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-6500
CARLY MARSHALL
Psychiatry & Neurology (Neurology)
330 S 9TH ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-6500
DR. WILLIAM CHARLES WELCH MD
Neurological Surgery
330 S 9TH ST, 4TH FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-6700
MARY F KELLEY CRNP
Nurse Practitioner (Gerontology)
330 S 9TH ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-3053

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gavin Villacorta's NPI number?

The NPI number for Gavin Villacorta is 1093411688. It was assigned to this individual provider in the NPPES registry on February 6, 2023.

Where is Gavin Villacorta located?

Gavin Villacorta practices at 330 S 9th St, Philadelphia, PA 19107. The listed phone number is (215) 829-6500.

What is Gavin Villacorta's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Gavin Villacorta enrolled in Medicare?

Yes. Gavin Villacorta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Gavin Villacorta affiliated with any hospitals?

According to CMS data, Gavin Villacorta is affiliated with West Jersey Hospital, Hospital Of Univ Of Pennsylvania, Chester County Hospital and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Gavin Villacorta was last updated on February 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.