Active NPI
Jacqueline Amanda Veress, CRNP, FNP - C
- Family Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP022979
- Practice address
- 2160 E Sergeant St
Philadelphia, PA 19125-2238 - Phone
- (908) 902-3923
- NPI assigned
- Jan 3, 2021
- Last updated
- Jan 3, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP022979 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitality NP Group LLC | Current | Accepting new patients | |
| Healing Partners Plus PLLC | Current | Accepting new patients | |
| Consonant Healing Medical Associates of NJ LLC | Current | Accepting new patients | |
| Consonant Healing Medical Associates | Current | Accepting new patients | |
| Personal NP Services, LLC | Current | 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
- 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.
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- NPI 1003453051
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2021; 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.