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MS. CYNTHIA WHEELER CRNP
NPI 1174052997
Nurse Practitioner - Adult Health in Philadelphia, PA

Active since June 06, 2017PECOS EnrolledAccepts Medicare Assignment
925 CHESTNUT ST # 421D, PHILADELPHIA, PA 19107(215) 503-4752 Get Directions Write a Review

NPPES record last updated: June 6, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Cynthia Wheeler Crnp NPPES

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

MS. CYNTHIA WHEELER CRNP (NPI 1174052997) is an individual adult health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP017433) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1174052997
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. CYNTHIA WHEELERCredential: CRNP
Location Address925 CHESTNUT ST # 421DPhiladelphia, PA 19107-4216
Mailing Address925 Chestnut St # 421dPhiladelphia, PA 19107-4216 · (215) 503-4752
Phone(215) 503-4752
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 6, 2017
✔ NPI 1174052997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in PA · SP017433
925 CHESTNUT ST # 421D, Philadelphia, PA 19107
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Ms. Cynthia Wheeler 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 ID4587925573
PECOS Enrollment IDI20180308001574
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

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 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.
137 services57 patients

Hospital Affiliations CMS Care Compare

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

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims1,008 services$0.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Cynthia Wheeler's NPI number?

The NPI number for Cynthia Wheeler is 1174052997. It was assigned to this individual provider in the NPPES registry on June 6, 2017.

Where is Cynthia Wheeler located?

Cynthia Wheeler practices at 925 Chestnut St # 421D, Philadelphia, PA 19107. The listed phone number is (215) 503-4752.

What is Cynthia Wheeler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Cynthia Wheeler enrolled in Medicare?

Yes. Cynthia Wheeler 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.

What insurance does Cynthia Wheeler accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Cynthia Wheeler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Cynthia Wheeler affiliated with any hospitals?

According to CMS data, Cynthia Wheeler is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Cynthia Wheeler was last updated on June 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.