NPIMap

Individual provider Active NPI

Jennifer Laura Stockhausen, DO

  • Family Medicine Physician
  • Whitehall, PA
National Provider Identifier
1114365194
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS018779 Issued in PA
Practice address
3691 Crescent CT E
Whitehall, PA 18052-3433
Phone
(610) 434-9561
Fax
(610) 434-5122
NPI assigned
Jun 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS018779 PA Primary

Addresses

Primary practice location

3691 Crescent CT E
Whitehall, PA 18052-3433

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500

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
I20170929002505 PA Practitioner - Family PracticePractitioner - Urology 2860628344 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

1431 Nursery St
Fogelsville, PA 18051-1612

2100 Mack Blvd
FL 4
Allentown, PA 18103-5622

2412 Cherryville Rd
Northampton, PA 18067-1148
Phone (610) 849-0200

2649 Schoenersville Rd
Suite 100
Bethlehem, PA 18017-7326
Phone (484) 884-8110

2741 Macarthur Rd
Whitehall, PA 18052-3632
Phone (610) 434-9561

3691 Cresent CT E
LVPG Family Medicine Whitehall
Whitehall, PA 18052-3498
Phone (610) 434-9561

384 Airport Rd
Hazle Township, PA 18202-3325
Phone (570) 861-8717

5074 Kernsville Rd
Orefield, PA 18069-2320
Phone (610) 395-1993

5649 Wynnewood Dr
Laurys Station, PA 18059-1124

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Schuylkill Health System Medical Group, Inc. Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Family Care Centers Inc. Family Medicine Current Accepting new patients
Lehigh Valley Physician Group Family Medicine CurrentSince Sep 11, 2017 Accepting new patients
Schuylkill Health System Medical Group, Inc. Family Medicine Current Accepting new patients
Lehigh Valley Physician Group Family Medicine Current Accepting new patients
Lehigh Valley Physician Group Family Medicine CurrentSince Sep 11, 2017 Accepting new patients
Family Care Centers Inc Family Medicine CurrentSince Jul 7, 2024 Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

4541 Milford Rd
East Stroudsburg, PA 18302
Phone (570) 395-2514

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

200 Schuylkill Medical Plz
Pottsville, PA 17901
Phone (570) 621-9200

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

3691 Crescent Ct E
Whitehall, PA 18052
Phone (610) 434-9561

Interoperability endpoints

  • Direct secure messaging: jstockhausen181291@direct2.lvhn.org

Organizations & group practices 9

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.

Hospital & facility affiliations 7

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": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1114365194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3691 CRESCENT CT E",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180523433",
            "telephone_number": "610-434-9561",
            "fax_number": "610-434-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKHAUSEN",
        "first_name": "JENNIFER",
        "middle_name": "LAURA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS018779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehall, PA

Sources for this page

Verify at the official NPI Registry.