Individual provider Active NPI

Jenna Nicole Edelman

  • Physician Assistant
  • Bethlehem, PA
National Provider Identifier
1164933735
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA060767 Issued in PA
Practice address
801 Ostrum St
Bethlehem, PA 18015-1000
Phone
(484) 526-4500
Fax
(484) 526-6674
NPI assigned
Oct 23, 2017
Last updated
Sep 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA060767 PA Primary

Addresses

Primary practice location

801 Ostrum St
Bethlehem, PA 18015-1000

Mailing address

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-4500

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
I20191004000982 PA Practitioner - Physician Assistant 9335470418 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Imaging of Lehigh Valley PCGroup PAC ID 1557265212, 115 clinicians
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone (610) 770-1606

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

1220 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone (610) 740-9500

1247 S Cedar Crest Blvd
Suite 102
Allentown, PA 18103-6296
Phone (610) 402-1022

200 E Brown St
E Stroudsburg, PA 18301-3006
Phone (570) 476-3700

206 E Brown St
E Stroudsburg, PA 18301-3006
Phone (570) 421-4000

2545 Schoenersville Rd
Bethlehem, PA 18017-7300
Phone (484) 884-2271

700 E Broad St
Hazelton, PA 18201-6835
Phone (570) 501-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.81 of 100Reported as group
Quality
75.84
Improvement activities
40
Cost
66.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Oct 1, 2025 Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 1, 2025 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Sep 16, 2019 Accepting new patients
St Luke's Physician Group Inc CurrentSince Sep 16, 2019 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients
Scranton Hospitalist Physician Services LLC PastSince May 7, 2025 Accepting new patients
Lehigh Valley Hospital Past Accepting new patients

Locations (25 of 32)

1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200

1250 S Cedar Crest Blvd
Ste 110
Allentown, PA 18103
Phone (610) 435-1003

1503 N Cedar Crest Blvd
Allentown, PA 18104
Phone (610) 871-9110

1621 N Cedar Crest Blvd
Allentown, PA 18104
Phone (610) 402-3300

6649 Chrisphalt Dr
Bath, PA 18014
Phone (610) 837-3181

2101 Emrick Blvd
Bethlehem, PA 18020
Phone (484) 895-3300

2300 Highland Ave
Bethlehem, PA 18020
Phone (610) 849-0691

2310 Highland Ave
Bethlehem, PA 18020
Phone (610) 691-4300

2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888

2597 Schoenersville Rd
Ste 100
Bethlehem, PA 18017
Phone (484) 884-2075

2597 Schoenersville Rd
Ste 202
Bethlehem, PA 18017
Phone (484) 884-2460

2775 Schoenersville Rd
Bethlehem, PA 18017

5683 Route 115
Blakeslee, PA 18610
Phone (570) 355-7100

111 Switzgabel Dr
Brodheadsville, PA 18322
Phone (570) 369-1004

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

505 Independence Rd
East Stroudsburg, PA 18301
Phone (484) 862-3001

3701 Corriere Rd
Easton, PA 18045
Phone (484) 591-7000

3780 Hecktown Rd
Easton, PA 18045
Phone (484) 884-9677

14351 Kutztown Rd
Fleetwood, PA 19522
Phone (610) 944-8800

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

10 E Spruce St
Frackville, PA 17931
Phone (570) 874-4289

700 Hawk Ridge Dr
Hamburg, PA 19526
Phone (610) 562-0170

700 E Broad St
Hazleton, PA 18201
Phone (570) 501-4000

6451 Village Ln
Macungie, PA 18062
Phone (610) 967-2772

237 S Mountain Blvd
Ste 7
Mountain Top, PA 18707
Phone (570) 261-5000

Organizations & group practices 10

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 5

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": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1164933735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-4500",
            "fax_number": "484-526-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-4500",
            "fax_number": "484-526-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELMAN",
        "first_name": "JENNA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA060767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.