Jacqueline Leigh Ford, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP030072 Issued in PA

Practice address

804 Glenside Ave
Wyncote, PA 19095-1202

Phone

(215) 360-4702

NPI assigned

Oct 18, 2024

Last updated

Oct 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Qofl Services LLCGroup PAC ID 6709030133, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holy Redeemer Hospital and Medical Center Hospital, Meadowbrook, PA, CCN 390097

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Qofl Services LLC

  • Nurse Practitioner
  • Louisville, KY
  • NPI 1942554837

  PA

  Medicare reassignment Care Compare group NPD
• Provider Partners Care Management LP

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1013348028

  PA

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Holy Redeemer Health System

  dba Holy Redeemer Hospital & Medical Center

  • General Acute Care Hospital
  • Meadowbrook, PA
  • NPI 1750371522
  Care Compare affiliation

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1174344584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 GLENSIDE AVE",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "190951202",
            "telephone_number": "215-360-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 GLENSIDE AVE",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "190951202",
            "telephone_number": "215-360-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "JACQUELINE",
        "middle_name": "LEIGH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP030072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Elizabeth Figat, MS, OTR/L
• Fit Essentials Inc
• Five Star Quality Home Care LLC
• Jerad Flatt, PT
• Ooreeel Flowers Chandler, NCC
• Seneca Rain Foy, LAPC
• Free 2B Me Nutrition Services Inc
• Jennifer Freeman, DPT, PT
• Haley Fusaro
• Molly Galdi

• Nurse Practitioner in Wyncote, PA
• Providers in Wyncote, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.

Verify at the official NPI Registry.