Individual provider Active NPI

Jacqueline Amanda Veress, CRNP, FNP - C

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1174111595
Registry record updated Jan 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP022979 Issued in PA
Practice address
2160 E Sergeant St
Philadelphia, PA 19125-2238
Phone
(908) 902-3923
NPI assigned
Jan 3, 2021
Last updated
Jan 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP022979 PA Primary

Addresses

Primary practice location

2160 E Sergeant St
Philadelphia, PA 19125-2238

Mailing address

2160 E Sergeant St
Philadelphia, PA 19125-2238
Phone (908) 902-3923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210514002135 NJ Practitioner - Nurse Practitioner 7416366885 Reassigns benefits to 2 organizations
I20230918004329 PA Practitioner - Nurse Practitioner 7416366885 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consonant Healing Medical Associates of NJ LLCGroup PAC ID 4880095637, 29 clinicians
Healing Partners Plus PLLCGroup PAC ID 4284155425, 125 clinicians
Consonant Healing Medical AssociatesGroup PAC ID 1254662695, 103 clinicians

Practice addresses (Care Compare)

100 Challenger Rd
Suite 205
Ridgefield Park, NJ 07660-2108
Phone (443) 383-9300

150 Monument Rd
Suite 207
Bala Cynwyd, PA 19004-1725
Phone (888) 402-0202

905 Tower Rd
Suite 3188
Bristol, PA 19007-3116
Phone (443) 383-9300

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP022979PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality NP Group LLC CurrentSince Jun 24, 2023 Accepting new patients
Healing Partners Plus PLLC CurrentSince May 1, 2025 Accepting new patients
Consonant Healing Medical Associates of NJ LLC CurrentSince Dec 1, 2023 Accepting new patients
Consonant Healing Medical Associates CurrentSince Dec 1, 2023 Accepting new patients
Personal NP Services, LLC CurrentSince Apr 29, 2021 Accepting new patients

Locations

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

456 Chestnut St
Ste 102
Lakewood, NJ 08701
Phone (732) 282-7200

685 River Ave
Unit 3
Lakewood, NJ 08701
Phone (732) 987-3855

2381 Lawrenceville Rd
Lawrenceville, NJ 08648
Phone (609) 896-8152

100 Challenger Rd
#205
Ridgefield Pk, NJ 07660

150 Monument Rd
Ste 207
Bala Cynwyd, PA 19004
Phone (800) 203-8657

905 Tower Rd
#3188
Bristol, PA 19007
Phone (215) 785-3201

905 Tower Rd
Ste 3188
Bristol, PA 19007
Phone (443) 483-9300

184 Bethlehem Pike
Philadelphia, PA 19118
Phone (215) 247-5311

3609 Chestnut St
Philadelphia, PA 19104
Phone (215) 386-2942

6950 Germantown Ave
Philadelphia, PA 19119
Phone (215) 261-7117

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1609632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609632000000",
    "number": "1174111595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 E SERGEANT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191252238",
            "telephone_number": "908-902-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 E SERGEANT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191252238",
            "telephone_number": "908-902-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERESS",
        "first_name": "JACQUELINE",
        "middle_name": "AMANDA",
        "credential": "CRNP, FNP - C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-03",
        "last_updated": "2021-01-03",
        "certification_date": "2021-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP022979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.