NPIMap

Individual provider Active NPI

Jenna Defelice, PA-C

  • Physician Assistant
  • Bethlehem, PA
National Provider Identifier
1366872871
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA056546 Issued in PA
Practice address
801 Ostrum St
Bethlehem, PA 18015-1000
Phone
(484) 526-6643
Fax
(484) 526-4658
NPI assigned
Nov 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA056546 PA Primary

Addresses

Primary practice location

801 Ostrum St
Bethlehem, PA 18015-1000

Mailing address

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-6643

Other names 1

  • Jenna Diasio Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140616000171 PA Practitioner - Physician Assistant 5991929846 Reassigns benefits to 2 organizations
I20170505000360 NJ Practitioner - Physician Assistant 5991929846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

1021 Park Ave
Quakertown, PA 18951-0130

1736 Hamilton St
Allentown, PA 18104-5656
Phone (484) 526-8142

1736 W Hamilton St
Allentown, PA 18104-5656
Phone (610) 954-3571

185 Roseberry St
Phillipsburg, NJ 08865-1690
Phone (908) 847-3212

1872 St Lukes Blvd
Easton, PA 18045-5669
Phone (484) 526-7800

250 S 21St St
Easton, PA 18042-3851

279 State Route 31 S
Washington, NJ 07882-4098
Phone (484) 503-7546

3000 St Lukes Dr
Quakertown, PA 18951-1696
Phone (484) 526-3950

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA056546PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Warren Physician Group, PC CurrentSince Mar 8, 2017 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jan 4, 2014 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Jan 4, 2014 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Mar 8, 2017 Accepting new patients
Gslpg Inc Past Accepting new patients
St. Luke'S Physician Group, Inc. Past Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients
Sacred Heart Healthcare System Past Accepting new patients

Locations

185 Roseberry St
#2
Phillipsburg, NJ 08865

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300

450 Chew St
Ste 204
Allentown, PA 18102
Phone (610) 776-4758

421 Chew St
Allentown, PA 18102
Phone (610) 776-4500

250 S 21st St
Easton, PA 18042
Phone (610) 250-4300

1872 St Lukes Blvd
Easton, PA 18045
Phone (484) 503-1200

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

500 St Lukes Dr
Lehighton, PA 18235
Phone (484) 464-4340

211 N 12th St
Lehighton, PA 18235
Phone (610) 377-1300

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

700 Lawn Ave
Sellersville, PA 18960
Phone (215) 453-4000

100 St Lukes Ln
Stroudsburg, PA 18360
Phone (272) 212-1000

Interoperability endpoints

  • Direct secure messaging: jenna.diasio@slpg.direct-sluhn.org

Organizations & group practices 11

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.

Hospital & facility affiliations 7

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": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1366872871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-6643",
            "fax_number": "484-526-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-6643",
            "fax_number": "484-526-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFELICE",
        "first_name": "JENNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-19",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "DIASIO",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.