Individual provider Active NPI

Jacqueline Mia Wolbransky, CRNP

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1336689488
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP016819 Issued in PA
Practice address
1800 Lombard St Ste 206
Philadelphia, PA 19146-1414
Phone
(215) 615-2222
Fax
(215) 893-7317
NPI assigned
Mar 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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 SP016819 PA Primary

Addresses

Primary practice location

1800 Lombard St Ste 206
Philadelphia, PA 19146-1414

Mailing address

1800 Lombard St Ste 206
Philadelphia, PA 19146-1414
Phone (215) 615-2222

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
I20170907002930 PA Practitioner - Nurse Practitioner 1254604515 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians
On Demand Urgent Care Group PCGroup PAC ID 5991029712, 95 clinicians

Practice addresses (Care Compare)

1800 Lombard St
Suite 206
Philadelphia, PA 19146-1414
Phone (215) 615-2222

6060 Ridge Ave
Suite 100
Philadelphia, PA 19128-1659
Phone (215) 999-6060

Hospital & facility affiliations

  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Jul 6, 2019 Accepting new patients
Jefferson Acute Care Physicians, PC CurrentSince May 6, 2018 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2019 Accepting new patients
Lancaster General Medical Group CurrentSince Jul 6, 2019 Accepting new patients
Jefferson Acute Care Physicians, PC CurrentSince May 6, 2018 Accepting new patients
On Demand Urgent Care Group PC CurrentSince May 8, 2023 Accepting new patients
University of Penn - Medical Group Current Accepting new patients
University of Penn - Medical Group CurrentSince Jul 1, 2019 Accepting new patients
On Demand Urgent Care Group PC Past Accepting new patients
On Demand Urgent Care Group, PC PastSince Oct 6, 2019 Accepting new patients
On Demand Urgent Care Group PC PastSince May 8, 2023 Accepting new patients
On Demand Urgent Care Group, PC PastSince Nov 16, 2021 Accepting new patients
On Demand Urgent Care Group PC PastSince Dec 9, 2019 Accepting new patients
On Demand Urgent Care Group, PC Past Accepting new patients
On Demand Urgent Care, PC PastSince Jun 6, 2021 Accepting new patients
On Demand Urgent Care Group, PC Past Accepting new patients
Lancaster General Medical Group Past Accepting new patients
On Demand Urgent Care Group, PC PastSince Oct 6, 2019 Accepting new patients

Locations

3626 Street Rd
Bensalem, PA 19020
Phone (267) 763-3626

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

213 Morton Ave
Folsom, PA 19033
Phone (610) 285-9500

1305 W Chester Pike
Havertown, PA 19083
Phone (610) 482-4949

620 Spear St
Oxford, PA 19363
Phone (610) 932-9300

5828 Market St
Philadelphia, PA 19139
Phone (267) 892-5828

3356 Aramingo Ave
Philadelphia, PA 19134
Phone (215) 739-6600

1217 S Broad St
Philadelphia, PA 19147
Phone (215) 999-1217

4190 City Ave
Ste 101
Philadelphia, PA 19131
Phone (215) 857-5300

1800 Lombard St
Ste 206
Philadelphia, PA 19146
Phone (215) 615-2222

618 Market St
Philadelphia, PA 19106
Phone (215) 583-0618

3550 Market St
Ste 102
Philadelphia, PA 19104
Phone (215) 405-0701

6060 Ridge Ave
Ste 100
Philadelphia, PA 19128
Phone (215) 483-6600

599 E Lancaster Ave
St Davids, PA 19087
Phone (484) 254-4984

Interoperability endpoints

  • Direct secure messaging: jacqueline.wolbransky.1@14965.direct.athenahealth.com

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 18

Hospital & facility affiliations 2

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": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1336689488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 LOMBARD ST STE 206",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461414",
            "telephone_number": "215-615-2222",
            "fax_number": "215-893-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 LOMBARD ST STE 206",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461414",
            "telephone_number": "215-615-2222",
            "fax_number": "215-893-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLBRANSKY",
        "first_name": "JACQUELINE",
        "middle_name": "MIA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-07",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.