Active NPI
Jessica R Stefanic, CRNP
- Family Nurse Practitioner
- Harrisburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP012546
- Practice address
- 4310 Londonderry Rd Ste 202
Harrisburg, PA 17109-5329 - Phone
- (717) 791-2520
- Fax
- (717) 920-4361
- NPI assigned
- Sep 7, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN56548 | PA | |
| Nurse Practitioner | 363L00000X | SP012546 | PA | |
| Family Nurse Practitioner | 363LF0000X | SP012546 | PA | Primary |
Addresses
Primary practice location
4310 Londonderry Rd Ste 202
Harrisburg, PA 17109-5329
Mailing address
409 S 2ND St Ste 2F
Harrisburg, PA 17104-1612
Phone (717) 791-2520
Other practice location 1
2501 N 3rd St
Harrisburg, PA 17110-1904
Phone (717) 782-2100
Other practice location 2
2501 N 3rd St
Harrisburg, PA 17110-1904
Phone (717) 782-2100
Other practice location 3
2005 Technology Pkwy Ste 400
Mechanicsburg, PA 17050
Phone (717) 791-2520
Other names 1
- Jessica Ryan O'Brien
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jstefanic20049@phsdirect.pinnaclehealth.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1251 E Main St
Annville, PA 17003-1643
1251 E Main Street
Annville, PA 17003-1643
2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100
2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363
2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100
2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143
4310 Londonderry Rd
Harrisburg, PA 17109-5329
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.08 of 100
- Quality
- 76.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.12
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN56548 | PA | MD | Registered Nurse |
| SP012546 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Nurse Practitioner | Past | Accepting new patients |
Locations
1251 E Main St
Ste 3
Annville, PA 17003
Phone (717) 988-0555
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
-
- Pediatrics Physician
- Harrisburg, PA
- NPI 1245244979
-
- Endocrinology, Diabetes & Metabolism Physician
- Mechanicsburg, PA
- NPI 1518918523
Nurse Practitioner
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1265537674
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1407813603
-
- General Acute Care Hospital
- Mechanicsburg, PA
- NPI 1972613305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608336000000",
"number": "1083963862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 S 2ND ST STE 2F",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041612",
"telephone_number": "717-791-2520",
"fax_number": "717-703-0061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4310 LONDONDERRY RD STE 202",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171095329",
"telephone_number": "717-791-2520",
"fax_number": "717-920-4361"
}
],
"practiceLocations": [
{
"address_1": "2501 N 3rd St",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171101904",
"country_code": "US",
"telephone_number": "717-782-2100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2501 N 3rd St",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171101904",
"country_code": "US",
"telephone_number": "717-782-2100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2005 Technology Pkwy Ste 400",
"address_purpose": "LOCATION",
"city": "Mechanicsburg",
"state": "PA",
"postal_code": "17050",
"country_code": "US",
"telephone_number": "717-791-2520",
"fax_number": "717-703-0061",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEFANIC",
"first_name": "JESSICA",
"middle_name": "R",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-07",
"last_updated": "2020-12-19",
"certification_date": "2020-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN56548",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP012546",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP012546",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jstefanic20049@phsdirect.pinnaclehealth.org",
"affiliation": "N",
"address_1": "4310 Londonderry Rd Ste 202",
"city": "Harrisburg",
"state": "PA",
"country_code": "US",
"postal_code": "171095329",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "O'BRIEN",
"middle_name": "RYAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.