Active NPI
Lynn Marie Fiocca, CRNP
- Family Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP014546
- Practice address
- 2301 S Broad St
Suite 205
Philadelphia, PA 19148-3542 - Phone
- (215) 551-3542
- NPI assigned
- Jun 25, 2014
- 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 | SP014546 | PA | Primary |
Addresses
Primary practice location
2301 S Broad St
Suite 205
Philadelphia, PA 19148-3542
Mailing address
2301 S Broad St
Suite 205
Philadelphia, PA 19148-3542
Phone (215) 551-8660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103270209 | Medicaid | PA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2301 S Broad St
Philadelphia, PA 19148-3542
Phone (215) 952-7444
Hospital & facility affiliations
- Jefferson Health at Home by Bayada
- Thomas Jefferson University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mydoc Urgent Care | Current | Accepting new patients | |
| Jefferson University Physicians | Current | Accepting new patients | |
| Jefferson University Physicians | Past | Accepting new patients |
Locations
1501 N Broad St
Ste 10
Philadelphia, PA 19122
Phone (267) 457-5553
3 Crescent Dr
Fl 2
Philadelphia, PA 19112
Phone (215) 503-7096
2301 S Broad St
Fl 1
Philadelphia, PA 19148
Phone (215) 952-9136
2301 S Broad St
Ste 205
Philadelphia, PA 19148
Phone (215) 551-8660
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
Organizations & group practices 3
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.
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
-
- Urgent Care Clinic/Center
- Philadelphia, PA
- NPI 1689067472
-
- Gastroenterology Physician
- Phila, PA
- NPI 1205898723
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Philadelphia, PA
- NPI 1700533049
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1356756555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 S BROAD ST",
"address_2": "SUITE 205",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191483542",
"telephone_number": "215-551-8660",
"fax_number": "215-551-9247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 S BROAD ST",
"address_2": "SUITE 205",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191483542",
"telephone_number": "215-551-3542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIOCCA",
"first_name": "LYNN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-25",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP014546",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103270209",
"state": "PA"
}
],
"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 May 11, 2017; 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.