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MS. DARLENE KAREN VERNON CRNP
NPI 1720752835
Nurse Practitioner in Phoenixville, PA

Active since August 03, 2021PECOS EnrolledAccepts Medicare Assignment
94.74/100
CMS Quality Rating
824 MAIN ST STE 201, PHOENIXVILLE, PA 19460(484) 938-4500(484) 924-9539 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Darlene Karen Vernon Crnp NPPES

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

MS. DARLENE KAREN VERNON CRNP (NPI 1720752835) is an individual nurse practitioner in Phoenixville, Pennsylvania, licensed in Pennsylvania (SP024109) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1720752835
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. DARLENE KAREN VERNONCredential: CRNP
Location Address824 MAIN ST STE 201Phoenixville, PA 19460-4478
Mailing Address207 N Broad St Fl 3Philadelphia, PA 19107-1500 · (267) 479-4142
Phone(484) 938-4500
Fax(484) 924-9539
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 3, 2021
Last NPPES UpdateMarch 25, 2022
NPPES CertifiedMarch 25, 2022
✔ NPI 1720752835 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 · SP024109
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.
824 MAIN ST STE 201, Phoenixville, PA 19460
Open in Google Maps ↗

Other Identifiers 1

Medicaid1039745100001PA

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. Darlene Karen Vernon 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 ID7113322868
PECOS Enrollment IDI20210819000173
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 9

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.
614 services443 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
51 services42 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
49 services49 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
35 services35 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
29 services21 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
26 services26 patients

Hospital Affiliations CMS Care Compare 3

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390123
Location1600 East High StreetPottstown, PA 19464 · Montgomery County
Emergency services

Phoenixville Hospital

Acute Care Hospitals · Phoenixville, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390127
Location140 Nutt RoadPhoenixville, PA 19460 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19460 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.58
Promoting Interoperability98
Improvement Activities40
Cost85.55

Other Providers at the Same Location NPPES 2

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

JENNIFER JOY SOBUS FNP-C
Nurse Practitioner
824 MAIN ST STE 201
PHOENIXVILLE, PA 19460
Chester County (484) 938-4500
H. BARRY RAFF MD
Internal Medicine (Cardiovascular Disease)
824 MAIN ST STE 201
PHOENIXVILLE, PA 19460
Chester County (484) 938-4500

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 Darlene Vernon's NPI number?

The NPI number for Darlene Vernon is 1720752835. It was assigned to this individual provider in the NPPES registry on August 3, 2021.

Where is Darlene Vernon located?

Darlene Vernon practices at 824 Main St Ste 201, Phoenixville, PA 19460. The listed phone number is (484) 938-4500.

What is Darlene Vernon's specialty?

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

Is Darlene Vernon enrolled in Medicare?

Yes. Darlene Vernon 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 Darlene Vernon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Darlene Vernon 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 Darlene Vernon affiliated with any hospitals?

According to CMS data, Darlene Vernon is affiliated with Reading Hospital, Pottstown Hospital and Phoenixville Hospital.

When was this NPI record last updated?

The NPPES record for Darlene Vernon was last updated on March 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.