NPIMap

Individual provider Active NPI

Jessica Agnes Conner, CRNP

  • Nurse Practitioner
  • Reading, PA
National Provider Identifier
1033855549
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP025699 Issued in PA
Practice address
1110 Rockland St
Reading, PA 19604-1501
Phone
(610) 988-4838
NPI assigned
May 8, 2022
Last updated
May 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP025699 PA Primary

Addresses

Primary practice location

1110 Rockland St
Reading, PA 19604-1501

Mailing address

645 Penn St Ste 301
Reading, PA 19601-3527
Phone (610) 988-4838

Other practice location 1

430 N 2nd St
Reading, PA 19601-2738
Phone (610) 988-4838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230920000641 PA Practitioner - Nurse Practitioner 7618331992 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tower Health Medical GroupGroup PAC ID 7618889213, 578 clinicians

Practice addresses (Care Compare)

600 High Blvd
Reading, PA 19607-2155
Phone (610) 775-2799

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Medical Group CurrentSince Jan 12, 2026 Accepting new patients
Berks Community Health Center CurrentSince May 31, 2023 Accepting new patients
Berks Community Health Center CurrentSince May 31, 2023 Accepting new patients
Tower Health Medical Group CurrentSince Jan 12, 2026 Accepting new patients
Reading Professional Services Past Accepting new patients
Berks Community Health Center Past Accepting new patients

Locations

1040 Liggett Ave
Reading, PA 19611
Phone (610) 775-1431

1110 Rockland St
Reading, PA 19604
Phone (610) 988-3848

430 N 2nd St
Reading, PA 19601
Phone (610) 898-0400

645 Penn St
Ste 301
Reading, PA 19601
Phone (484) 772-4073

838 Penn St
Reading, PA 19602
Phone (610) 988-4838

600 High Blvd
Shillington, PA 19607
Phone (610) 775-2799

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Organizations & group practices 7

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1651968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1033855549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 PENN ST STE 301",
            "city": "READING",
            "state": "PA",
            "postal_code": "196013527",
            "telephone_number": "610-988-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 ROCKLAND ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196041501",
            "telephone_number": "610-988-4838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "Reading",
            "state": "PA",
            "postal_code": "196012738",
            "country_code": "US",
            "telephone_number": "610-988-4838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNER",
        "first_name": "JESSICA",
        "middle_name": "AGNES",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-08",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP025699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.