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JOAN HANISCO CRNP
NPI 1922532787
Nurse Practitioner - Family in Philadelphia, PA

Active since April 18, 2017PECOS EnrolledAccepts Medicare Assignment
3401 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-4600(215) 707-9697 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 20, 2022, Jul 19, 2021, Apr 18, 2017 (3 updates tracked since 2017).

About Joan Hanisco Crnp NPPES

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

JOAN HANISCO CRNP (NPI 1922532787) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP017208) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Willow Grove, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1922532787
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJOAN HANISCOCredential: CRNP
Location Address3401 N BROAD STPhiladelphia, PA 19140-5103
Mailing Address3401 N Broad StPhiladelphia, PA 19140-5103 · (215) 707-4600 · Fax (215) 707-9697
Phone(215) 707-4600
Fax(215) 707-9697
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 18, 2017
Last NPPES UpdateDecember 20, 20223 updates tracked since enumeration
NPPES CertifiedDecember 20, 2022
✔ NPI 1922532787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP017208
3401 N BROAD ST, Philadelphia, PA 19140
Open in Google Maps ↗

Secondary Practice Location 1

Location 1735 Fitzwatertown Rd Ste 1Willow Grove, PA 19090-1338 · Phone (215) 657-2012 · Fax (215) 657-2018

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joan Hanisco 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 ID4981974086
PECOS Enrollment IDI20170724000317
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Joan Hanisco reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Temple Faculty Practice Plan, Inc
Same address
Nephrology
3401 N BROAD ST
Philadelphia, PA 19140
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,991 clinicians in this Medicare group
NPI 1003398967 (215) 707-4600
Clinical Renal Associates, LLC
15 mi
Nephrology
30 MEDICAL CENTER BLVD, SUITE 303
Upland, PA 19013
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 44 clinicians in this Medicare group
NPI 1689620254 (610) 872-8501

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 19140 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.

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.

DR. JAMIE L. GARFIELD MD
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-5864
ELIZABETH DIANE DAUER MD
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-3133
MARIA ESTHER ESCORCIA DE LEON M.D.
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-1622
JEONGAE YOON M.D.
Anesthesiology
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-3326
DR. SUSETE CARNEIRO M.D.
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (201) 317-3485
DR. SARAH DENISE FENERTY M.D.
Radiology (Diagnostic Radiology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-7237
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Radiology (Radiation Oncology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-4233
EDUARDO DOMINGUEZ CASTILLO M.D.
Internal Medicine (Pulmonary Disease)
3401 N BROAD ST, 812 PARKINSON PAVILION
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-5864

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 Joan Hanisco's NPI number?

The NPI number for Joan Hanisco is 1922532787. It was assigned to this individual provider in the NPPES registry on April 18, 2017.

Where is Joan Hanisco located?

Joan Hanisco practices at 3401 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-4600.

What is Joan Hanisco's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Joan Hanisco enrolled in Medicare?

Yes. Joan Hanisco 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.

Which organizations bill Medicare for Joan Hanisco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joan Hanisco reassigns Medicare benefits to 2 organizations: Temple Faculty Practice Plan, Inc (Philadelphia, PA) and Clinical Renal Associates, LLC (Upland, 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 Joan Hanisco'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 Joan Hanisco was last updated on December 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.