MRS. GINNA ELIZABETH DEITRICK CRNP
NPI 1790961480
Nurse Practitioner - Adult Health in Philadelphia, PA

Active since January 14, 2008PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3400 SPRUCE STREET, INTERVENTIONAL RADIOLOGY, PHILADELPHIA, PA 19104(215) 662-3005 Get Directions Write a Review

NPPES record last updated: August 15, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Ginna Elizabeth Deitrick Crnp NPPES

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

MRS. GINNA ELIZABETH DEITRICK CRNP (NPI 1790961480) is an individual adult health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP009820) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2007).

NPPES Registry Identity

NPI1790961480
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. GINNA ELIZABETH DEITRICKCredential: CRNP
Location Address3400 SPRUCE STREET, INTERVENTIONAL RADIOLOGYPhiladelphia, PA 19104-4206
Mailing Address3400 Spruce StreetPhiladelphia, PA 19104-4206 · (215) 662-3005
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2007
Enumeration DateJanuary 14, 2008
Last NPPES UpdateAugust 15, 2019
NPI 1790961480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in PA · SP009820
Also ListedRegistered Nurse · OncologyTaxonomy 163WX0200X · License RN556396 (PA)
3400 SPRUCE STREET, Philadelphia, PA 19104

Other Names 1

Former Name (1)Ginna Elizabeth Sylvanus

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

Mrs. Ginna Elizabeth Deitrick 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 ID7416123302
PECOS Enrollment IDI20111227000071
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.

Hospital Affiliations CMS Care Compare 2

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

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.

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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

Anesthesiology (Critical Care Medicine)
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Surgery (Surgical Critical Care)
3400 SPRUCE STREET, 2 DULLES
PHILADELPHIA, PA 19104
Obstetrics & Gynecology
3400 SPRUCE STREET, 5 PENN TOWER
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE STREET, GROUND FLOOR DULLES
PHILADELPHIA, PA 19104
Obstetrics & Gynecology
3400 SPRUCE STREET, 1 WEST GATES
PHILADELPHIA, PA 19104
Emergency Medicine
3400 SPRUCE STREET, GROUND SILVERSTEIN BLDG
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Neurology)
3400 SPRUCE STREET
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 Ginna Deitrick's NPI number?

The NPI number for Ginna Deitrick is 1790961480. It was assigned to this individual provider in the NPPES registry on January 14, 2008. The provider is also known as Ginna Elizabeth Sylvanus.

Where is Ginna Deitrick located?

Ginna Deitrick practices at 3400 Spruce Street Interventional Radiology, Philadelphia, PA 19104. The listed phone number is (215) 662-3005.

What is Ginna Deitrick's specialty?

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

Is Ginna Deitrick enrolled in Medicare?

Yes. Ginna Deitrick 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.

Is Ginna Deitrick affiliated with any hospitals?

According to CMS data, Ginna Deitrick is affiliated with Hospital Of Univ Of Pennsylvania and Chester County Hospital.

When was this NPI record last updated?

The NPPES record for Ginna Deitrick was last updated on August 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.