NPIMap

Individual provider Active NPI

Jill Riccio, CRNP

  • Nurse Practitioner
  • E Greenville, PA
National Provider Identifier
1386114247
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP019694 Issued in PA
Practice address
1355 County Line Rd
E Greenville, PA 18041-2009
Phone
(267) 377-7219
NPI assigned
Dec 4, 2018
Last updated
May 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP019694 PA Primary

Addresses

Primary practice location

1355 County Line Rd
E Greenville, PA 18041-2009

Mailing address

1154A W Main St
Stroudsburg, PA 18360-1323
Phone (570) 424-1235

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190305001598 PA Practitioner - Nurse Practitioner 1456690783 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
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

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

700 Lawn Ave
Sellersville, PA 18960-1548
Phone (484) 822-5700

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grand View Hospital CurrentSince Aug 1, 2021 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Jul 22, 2025 Accepting new patients
Grand View Hospital CurrentSince Aug 1, 2021 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Jul 22, 2025 Accepting new patients
Alignmed Partners, PC CurrentSince May 18, 2019 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients

Locations

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

1718 Spring Creek Rd
Macungie, PA 18062
Phone (610) 366-0500

1194 Naamans Creek Rd
Marcus Hook, PA 19060
Phone (610) 358-6005

99 N West End Blvd
Ste 108
Quakertown, PA 18951
Phone (215) 453-3400

5501 Perkiomen Ave
Reading, PA 19606
Phone (610) 779-0600

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

100 Edella Rd
South Abington Township, PA 18411
Phone (570) 586-1002

800 W Miner St
West Chester, PA 19382
Phone (484) 920-6200

Interoperability endpoints

  • Direct secure messaging: jill.riccio.1@4275.direct.athenahealth.com
  • Direct secure messaging: jriccio223549@direct-sluhn.org

Organizations & group practices 7

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 9

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": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1386114247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154A W MAIN ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601323",
            "telephone_number": "570-424-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 COUNTY LINE RD",
            "city": "E GREENVILLE",
            "state": "PA",
            "postal_code": "180412009",
            "telephone_number": "267-377-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCIO",
        "first_name": "JILL",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP019694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.