Individual provider Active NPI

Jessica Macconchie, NP

  • Women's Health Nurse Practitioner
  • Willow Grove, PA
National Provider Identifier
1134725773
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
SP022317 Issued in PA
Practice address
1724 Crestview Ave
Willow Grove, PA 19090-4311
Phone
(732) 575-0985
NPI assigned
Dec 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 26NJ01081400 NJ
Women's Health Nurse Practitioner 363LW0102X SP022317 PA Primary

Addresses

Primary practice location

1724 Crestview Ave
Willow Grove, PA 19090-4311

Mailing address

1724 Crestview Ave
Willow Grove, PA 19090-4311
Phone (732) 575-0985

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
I20220618000431 PA Practitioner - Nurse Practitioner 8921417460 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Drexel University College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abington Memorial HospitalGroup PAC ID 3274437736, shared by 44 NPIs, 442 clinicians

Practice addresses (Care Compare)

1245 Highland Ave
Suite 109
Abington, PA 19001-3722
Phone (215) 481-4212

Hospital & facility affiliations

  • Jefferson Health- Northeast Hospital, Philadelphia, PA, CCN 390115
  • Doylestown Hospital Hospital, Doylestown, PA, CCN 390203

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01081400NJMDWomen's Health Nurse Practitioner
SP022317PAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abington Memorial Hospital CurrentSince Jun 20, 2022 Accepting new patients
Abington Memorial Hospital CurrentSince Jun 20, 2022 Accepting new patients
Abington Memorial Hospital CurrentSince Mar 1, 2024 Accepting new patients
Womencare OB GYN, P.C. Past Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

1245 Highland Ave
Ste 109
Abington, PA 19001
Phone (215) 481-3900

1200 Old York Rd
Fl Toll
Abington, PA 19001
Phone (215) 481-6784

1245 Highland Ave
Ste 505
Abington, PA 19001
Phone (215) 443-0660

1245 Highland Ave
Ste G01
Abington, PA 19001
Phone (215) 366-1160

1245 Highland Ave
Ste 306
Abington, PA 19001
Phone (215) 481-9495

721 Arbor Way
Ste 106
Blue Bell, PA 19422
Phone (215) 366-1160

1811 Bethlehem Pike
Ste A110
Flourtown, PA 19031
Phone (215) 366-1160

118 Welsh Rd
Unit A
Horsham, PA 19044
Phone (215) 657-5200

300 Welsh Rd
Bldg 2
Horsham, PA 19044
Phone (855) 930-8346

2301 Huntingdon Pike
Huntingdon Valley, PA 19006
Phone (215) 481-4932

125 Medical Campus Dr
Ste 200
Lansdale, PA 19446
Phone (215) 361-4980

11 Friends Ln
Ste 101
Newtown, PA 18940
Phone (215) 579-1300

3998 Red Lion Rd
Ste 106
Philadelphia, PA 19114
Phone (215) 612-4143

7996 Oxford Ave
Philadelphia, PA 19111
Phone (215) 725-1411

1380 Easton Rd
Warrington, PA 18976
Phone (215) 491-5057

2729 Blair Mill Rd
Ste C
Willow Grove, PA 19090
Phone (215) 443-0660

Organizations & group practices 4

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 2

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": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1134725773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 CRESTVIEW AVE",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190904311",
            "telephone_number": "732-575-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 CRESTVIEW AVE",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190904311",
            "telephone_number": "732-575-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCONCHIE",
        "first_name": "JESSICA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ01081400",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "SP022317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

Verify at the official NPI Registry.