COLLEGEVILLE FAMILY PRACTICE
NPI 1942324330
Family Medicine in Collegeville, PA

Q: What is Pmsi Collegeville Family Practice's NPI number?

The NPI number for Pmsi Collegeville Family Practice is 1942324330. It was assigned to this organization in the NPPES registry on March 19, 2007. The provider is doing business as Collegeville Family Practice.

Q: What is Pmsi Collegeville Family Practice's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 19, 2007CLIA 39D0978835 · Waiver

555 SECOND AVENUE, SUITE 300, COLLEGEVILLE, PA 19426(610) 454-7750(610) 454-1367 Get Directions Write a Review

NPPES record last updated: July 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Collegeville Family Practice NPPES

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

COLLEGEVILLE FAMILY PRACTICE (NPI 1942324330) is a healthcare organization registered as a family medicine in Collegeville, Pennsylvania and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through October 3, 2026 and lists Shana M Enochs, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1942324330

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePMSI COLLEGEVILLE FAMILY PRACTICE

Location Address555 SECOND AVENUE, SUITE 300Collegeville, PA 19426

Mailing Address555 Second Avenue, Suite 300Collegeville, PA 19426 · (610) 454-7750 · Fax (610) 454-1367

Phone(610) 454-7750

Fax(610) 454-1367

Organization SubpartYesParent: Collegeville Family Practice

Authorized OfficialShana M EnochsCredentialing Specialist · (610) 327-4200

Enumeration DateMarch 19, 2007

Last NPPES UpdateJuly 14, 2016

✔ NPI 1942324330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MD046620L

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

555 SECOND AVENUE, Collegeville, PA 19426

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Other Names 1

Doing Business AsCollegeville Family Practice

Other Identifiers 3

Other0045725015PA · Keystone Hmo

Other26191PA · Blue Shield Assign Acct

Medicare PIN026191D8PPA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0978835

Collegeville Family Practice · Collegeville, PA

Active · expires Oct 3, 2026

CLIA Number39D0978835

Laboratory TypePhysician Office

Certificate Effective DateOctober 4, 2024

Certificate Expiration DateOctober 3, 2026

Laboratory DirectorDr. Birgit Wiswe

Laboratory Phone(610) 454-7750

Laboratory LocationCollegeville Family Practice555 Second Avenue Suite 300, Collegeville, PA 19426

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

COLLEGEVILLE DENTAL CENTER

Dentist (General Practice)

555 SECOND AVENUE, SUITE D-500
COLLEGEVILLE, PA 19426

Montgomery County (610) 409-9370

TALAMO FAMILY PRACTICE GROUP, PC

Clinic/Center (Primary Care)

555 SECOND AVENUE, SUITE D201
COLLEGEVILLE, PA 19426

Montgomery County (610) 831-2280

COLLEGEVILLE SPEECH AND HEARING, LLC

Speech-Language Pathologist

555 SECOND AVENUE, SUITE D-204
COLLEGEVILLE, PA 19426

Montgomery County (610) 454-1177

SHAILEN R SHAH M.D.

Allergy & Immunology

555 SECOND AVENUE, SUITE C-750
COLLEGEVILLE, PA 19426

Montgomery County (610) 409-9440

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 Pmsi Collegeville Family Practice's NPI number?

The NPI number for Pmsi Collegeville Family Practice is 1942324330. It was assigned to this organization in the NPPES registry on March 19, 2007. The provider is doing business as Collegeville Family Practice.

Where is Pmsi Collegeville Family Practice located?

Pmsi Collegeville Family Practice is located at 555 Second Avenue Suite 300, Collegeville, PA 19426. The listed phone number is (610) 454-7750.

What is Pmsi Collegeville Family Practice's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Pmsi Collegeville Family Practice hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0978835) is associated with this NPI, valid through October 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pmsi Collegeville Family Practice accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Pmsi Collegeville Family Practice 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.

When was this NPI record last updated?

The NPPES record for Pmsi Collegeville Family Practice was last updated on July 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.