MS. CHRISTIE LEE DIVETERANO CRNP
NPI 1245822055
Nurse Practitioner - Acute Care in Philadelphia, PA
About Ms. Christie Lee Diveterano Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. CHRISTIE LEE DIVETERANO CRNP (NPI 1245822055) is an individual acute care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP023121) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Christie Lee Diveterano Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Christie Diveterano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,488 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Christie Diveterano's NPI number?
The NPI number for Christie Diveterano is 1245822055. It was assigned to this individual provider in the NPPES registry on February 3, 2021.
Where is Christie Diveterano located?
Christie Diveterano practices at 3400 Spruce Street, Philadelphia, PA 19104. The listed phone number is (484) 354-4018.
What is Christie Diveterano's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Christie Diveterano enrolled in Medicare?
Yes. Christie Diveterano is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Christie Diveterano's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Christie Diveterano reassigns Medicare benefits to University Of Penn-Medical Group (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Christie Diveterano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Christie Diveterano accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Christie Diveterano 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.
When was this NPI record last updated?
The NPPES record for Christie Diveterano was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Ms. Christie Lee Diveterano, CRNP · NPI 1245822055
Acute Care physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since February 3, 2021.
## Identity
- **NPI:** 1245822055 (Entity type: Individual)
- **Enumerated:** February 3, 2021
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** SP023121 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3400 SPRUCE STREET, Philadelphia, PA 19104-4206
- **Phone:** (484) 354-4018
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Penn-Medical Group (NPI 1073902169, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 18, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1245822055) · Data from the CMS NPPES public registry.