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DENISE J MCPHERSON CRNP
NPI 1730513748
Nurse Practitioner - Acute Care in Allentown, PA

Active since August 27, 2013PECOS EnrolledAccepts Medicare Assignment
1250 S CEDAR CREST BLVD, STE 205, ALLENTOWN, PA 18103(610) 439-8856(610) 439-1314 Get Directions Write a Review

NPPES record last updated: August 27, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Denise J Mcpherson Crnp NPPES

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

DENISE J MCPHERSON CRNP (NPI 1730513748) is an individual acute care provider in Allentown, Pennsylvania, licensed in Pennsylvania (SP013104) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1730513748
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameDENISE J MCPHERSONCredential: CRNP
Location Address1250 S CEDAR CREST BLVD, STE 205Allentown, PA 18103-6224
Mailing AddressPo Box 1754Allentown, PA 18105-1754
Phone(610) 439-8856
Fax(610) 439-1314
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 27, 2013
✔ NPI 1730513748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in PA · SP013104
1250 S CEDAR CREST BLVD, Allentown, PA 18103
Open in Google Maps ↗

Other Names 1

Former Name (1)Denise Miller

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

Denise J Mcpherson 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 ID4486888211
PECOS Enrollment IDI20131010001617
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 6

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.

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.
146 services62 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.
65 services37 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
42 services42 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
35 services35 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
28 services28 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
21 services20 patients

Hospital Affiliations CMS Care Compare

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

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18103 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$14.04 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$62.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JESSICA MARY BOEHMLER MD
Internal Medicine (Critical Care Medicine)
1250 S CEDAR CREST BLVD, SUITE 205
ALLENTOWN, PA 18103
Lehigh County (610) 439-8856
LEHIGH VALLEY PHYSICIAN GROUP
Psychiatry & Neurology (Psychiatry)
1250 S CEDAR CREST BLVD, SUITE 410
ALLENTOWN, PA 18103
Lehigh County (610) 402-3500
VSAS ORTHOPAEDICS PC
Occupational Therapist
1250 S CEDAR CREST BLVD, SUITE 110
ALLENTOWN, PA 18103
Lehigh County (610) 435-1003
MISS LINDSEY R. REYES PA-C
Physician Assistant (Medical)
1250 S CEDAR CREST BLVD, STE 300
ALLENTOWN, PA 18103
Lehigh County (610) 402-3110
ANDREW BERNER CRNP
Nurse Practitioner (Family)
1250 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-2273
JAMES A BURKE MD
Internal Medicine (Interventional Cardiology)
1250 S CEDAR CREST BLVD, SUITE 300
ALLENTOWN, PA 18103
Lehigh County (610) 402-3110
MR. JAMES BAGLEY PA-C
Physician Assistant (Medical)
1250 S CEDAR CREST BLVD, STE 205
ALLENTOWN, PA 18103
Lehigh County (610) 439-8856
ADAM B. EDWARDS MD
Psychiatry & Neurology (Neurocritical Care)
1250 S CEDAR CREST BLVD, SUITE 405
ALLENTOWN, PA 18103
Lehigh County (610) 402-8420

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 Mcpherson's NPI number?

The NPI number for Denise Mcpherson is 1730513748. It was assigned to this individual provider in the NPPES registry on August 27, 2013. The provider is also known as Denise Miller.

Where is Denise Mcpherson located?

Denise Mcpherson practices at 1250 S Cedar Crest Blvd Ste 205, Allentown, PA 18103. The listed phone number is (610) 439-8856.

What is Denise Mcpherson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Denise Mcpherson enrolled in Medicare?

Yes. Denise Mcpherson 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 Denise Mcpherson accept?

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

According to CMS data, Denise Mcpherson is affiliated with Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for Denise Mcpherson was last updated on August 27, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.