DENISE L STASUK CRNP
NPI 1629304449
Nurse Practitioner - Family in Philadelphia, PA
About Denise L Stasuk Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DENISE L STASUK CRNP (NPI 1629304449) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP010392) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Yardley.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Denise L Stasuk Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Denise Stasuk reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,488 clinicians in this Medicare group
Philadelphia, PA 19153
- Reassigned Medicare billing, Pennsylvania enrollment
- 646 clinicians in this Medicare group
Philadelphia, PA 19125
- Reassigned Medicare billing, Pennsylvania enrollment
- 7 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.
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.
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 Denise Stasuk's NPI number?
The NPI number for Denise Stasuk is 1629304449. It was assigned to this individual provider in the NPPES registry on October 29, 2009.
Where is Denise Stasuk located?
Denise Stasuk practices at 3400 Spruce Street Ground Ravdin, Philadelphia, PA 19104. The listed phone number is (215) 662-7248.
What is Denise Stasuk's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Denise Stasuk enrolled in Medicare?
Yes. Denise Stasuk is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Denise Stasuk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Denise Stasuk reassigns Medicare benefits to 3 organizations: University Of Penn-Medical Group (Philadelphia, PA), Trinity Health Mid-Atlantic Medical Group (Philadelphia, PA) and Revascmedprofessionals PC (Philadelphia, PA). Each 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 Denise Stasuk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Denise Stasuk was last updated on May 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Denise L Stasuk, CRNP · NPI 1629304449
Family physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 29, 2009.
## Identity
- **NPI:** 1629304449 (Entity type: Individual)
- **Enumerated:** October 29, 2009
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP010392 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 SPRUCE STREET, GROUND RAVDIN, Philadelphia, PA 19104
- **Phone:** (215) 662-7248
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): University Of Penn-Medical Group (NPI 1073902169, Philadelphia, PA); Trinity Health Mid-Atlantic Medical Group (NPI 1598289209, Philadelphia, PA); Revascmedprofessionals PC (NPI 1669074795, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1629304449) · Data from the CMS NPPES public registry.