Individual provider Active NPI

Jennifer Bish, CRNP

  • Pediatric Nurse Practitioner
  • Trevose, PA
National Provider Identifier
1023554078
Registry record updated Jan 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
SP017115 Issued in PA
Practice address
4829 E Street Rd
Trevose, PA 19053-6647
Phone
(215) 364-5800
NPI assigned
Jan 16, 2017
Last updated
Jan 16, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X SP017115 PA Primary

Addresses

Primary practice location

4829 E Street Rd
Trevose, PA 19053-6647

Mailing address

4829 E Street Rd
Trevose, PA 19053-6647
Phone (215) 364-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171121003323 PA Order and Referring Only - Nurse Practitioner 9335406651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP017115PAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Margiotti & Kroll Pediatrics, P.C. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1023554078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4829 E STREET RD",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536647",
            "telephone_number": "215-364-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4829 E STREET RD",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536647",
            "telephone_number": "215-364-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISH",
        "first_name": "JENNIFER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-16",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP017115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trevose, PA

Sources for this page

Verify at the official NPI Registry.