Individual provider Active NPI

Lisa Friedman Felkins, MSN

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1427304252
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP012082 Issued in PA
Practice address
3624 Market St
Suite 201
Philadelphia, PA 19104-2614
Phone
(215) 662-7772
Fax
(215) 349-8038
NPI assigned
Jul 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN623150 PA
Registered Nurse 163W00000X 26NR15535500 NJ
Registered Nurse 163W00000X L10040151 DE
Family Nurse Practitioner 363LF0000X SP012082 PA Primary
Family Nurse Practitioner 363LF0000X 26NJ00388700 NJ

Addresses

Primary practice location

3624 Market St
Suite 201
Philadelphia, PA 19104-2614

Mailing address

3624 Market St
Suite 201
Philadelphia, PA 19104-2614
Phone (215) 615-4866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121017000571 NJ Practitioner - Nurse Practitioner 1254581804 Reassigns benefits to 2 organizations
I20130529000150 PA Practitioner - Nurse Practitioner 1254581804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
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

Practice addresses (Care Compare)

3400 Civic Ctr Blvd 1St
Harron Lung Pcam
Philadelphia, PA 19104-4306
Phone (215) 662-3202

3400 Civic Ctr Blvd W Pavillion
4 Penn Diabetic Kidney Disease Perelman
Philadelphia, PA 19104-5134
Phone (215) 662-2638

3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-7772

3400 Spruce St
FL 3
Philadelphia, PA 19104-4229
Phone (215) 662-3202

3535 Market St
Philadelphia, PA 19104-3362

3549 Chestnut St
FL 9
Philadelphia, PA 19104-3361
Phone (215) 662-7772

3624 Market St
FL 2
Philadelphia, PA 19104-5803
Phone (215) 662-7772

3737 Market St
FL 10
Philadelphia, PA 19104-5545
Phone (215) 662-8766

51 N 39TH St 1St FL Phi
Pulmomary Med PPMC
Philadelphia, PA 19104-2640
Phone (215) 662-8766

51 N 39TH St HVP 2ND FL
Pulmonary Dysp PPMC
Philadelphia, PA 19104-2640
Phone (215) 662-8888

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
L10040151DEMDRegistered Nurse
26NR15535500NJMDRegistered Nurse
RN623150PAMDRegistered Nurse
26NJ00388700NJMDFamily Nurse Practitioner
SP012082PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn - Medical Group Current Accepting new patients
Advocare, LLC CurrentSince Aug 18, 2012 Accepting new patients
University of Penn - Medical Group CurrentSince Mar 9, 2015 Accepting new patients
University of Penn-Medical Group CurrentSince Mar 9, 2015 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Jun 19, 2015 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Jun 19, 2015 Accepting new patients
Advocare , LLC CurrentSince Aug 18, 2012 Accepting new patients

Locations

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

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 and National Provider Directory roles.

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": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1427304252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 MARKET ST",
            "address_2": "SUITE 201",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042614",
            "telephone_number": "215-615-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 MARKET ST",
            "address_2": "SUITE 201",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042614",
            "telephone_number": "215-662-7772",
            "fax_number": "215-349-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELKINS",
        "first_name": "LISA",
        "middle_name": "FRIEDMAN",
        "name_prefix": "Mrs.",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-30",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN623150",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR15535500",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L10040151",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012082",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00388700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.