Individual provider Active NPI

Jesse Frances Gehman, CRNP

  • Family Nurse Practitioner
  • Easton, PA
National Provider Identifier
1356809891
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP020045 Issued in PA
Practice address
3465 Nazareth Rd Ste 102
Easton, PA 18045-8359
Phone
(610) 330-2630
NPI assigned
Mar 4, 2019
Last updated
Mar 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 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 SP020045 PA Primary

Addresses

Primary practice location

3465 Nazareth Rd Ste 102
Easton, PA 18045-8359

Mailing address

3465 Nazareth Rd Ste 102
Easton, PA 18045-8359
Phone (610) 330-2630

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
I20190613002556 PA Practitioner - Nurse Practitioner 2961735568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care Alternatives of Pennsylvania, LLCGroup PAC ID 7416034335, 2 clinicians

Practice addresses (Care Compare)

1120 Welsh Rd
220 Ascend Hospice
North Wales, PA 19454-3794
Phone (215) 542-2100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP020045PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care Alternatives of Pennsylvania, LLC CurrentSince Jun 2, 2021 Accepting new patients
Hayman Salib MD PC PastSince Apr 28, 2019 Accepting new patients

Locations

65 Jackson Dr
Ste 103
Cranford, NJ 07016
Phone (908) 931-9068

1120 Welsh Rd
Ste 220
North Wales, PA 19454
Phone (215) 542-2100

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.

NPI Registry JSON

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1356809891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 NAZARETH RD STE 102",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180458359",
            "telephone_number": "610-330-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 NAZARETH RD STE 102",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180458359",
            "telephone_number": "610-330-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEHMAN",
        "first_name": "JESSE",
        "middle_name": "FRANCES",
        "name_prefix": "Miss",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.