Individual provider Active NPI

Jennifer R Galczenski, CRNP

  • Adult Health Nurse Practitioner
  • East Norriton, PA
National Provider Identifier
1336234103
Registry record updated Sep 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP009199 Issued in PA
Practice address
559 W Germantown Pike
East Norriton, PA 19403-4250
Phone
(484) 622-4245
Fax
(484) 622-2287
NPI assigned
Oct 4, 2006
Last updated
Sep 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X SP017340 PA
Adult Health Nurse Practitioner 363LA2200X SP009199 PA Primary

Addresses

Primary practice location

559 W Germantown Pike
East Norriton, PA 19403-4250

Mailing address

559 W Germantown Pike
East Norriton, PA 19403-4250
Phone (484) 622-4245

Other identifiers 1

IdentifierTypeStateIssuer
RN570637OtherPALICENSE

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
I20061121000031 PA Practitioner - Nurse Practitioner 3375541642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

100 E Lancaster Ave
Wynewood, PA 19096-3450

830 Old Lancaster Rd
Bryn Mawr, PA 19010-3118

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP017340PAMDAcute Care Nurse Practitioner
SP009199PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Healthcare CurrentSince May 3, 2021 Accepting new patients
Inpatient Consultants of Pennsylvania PC Past Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

Interoperability endpoints

  • Direct secure messaging: jennifer.galczenski@direct.einstein.edu

Organizations & group practices 2

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 4

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504656000000",
    "number": "1336234103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 W GERMANTOWN PIKE",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194034250",
            "telephone_number": "484-622-4245",
            "fax_number": "484-622-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 W GERMANTOWN PIKE",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194034250",
            "telephone_number": "484-622-4245",
            "fax_number": "484-622-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALCZENSKI",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2017-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP017340",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP009199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "RN570637",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Norriton, PA

Sources for this page

Verify at the official NPI Registry.