Individual provider Active NPI

Jessica Lynn Fiore, MSN FNP-C

  • Pediatric Nurse Practitioner
  • West Chester, PA
National Provider Identifier
1487124236
Registry record updated Jul 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
SP020803 Issued in PA
Practice address
1246 W Chester Pike Ste 303
West Chester, PA 19382-5683
Phone
(610) 692-2605
NPI assigned
Dec 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024177584 VA
Family Nurse Practitioner 363LF0000X 26NJ15318900 NJ
Family Nurse Practitioner 363LF0000X SP020803 PA
Pediatric Nurse Practitioner 363LP0200X SP020803 PA Primary

Addresses

Primary practice location

1246 W Chester Pike Ste 303
West Chester, PA 19382-5683

Mailing address

401 Route 73 N BLDG 10, Suite 320
Marlton, NJ 08053
Phone (856) 872-7055

Other practice location 1

3104 Bridgeboro Rd Ste C-2
Delran, NJ 08075-9716
Phone (856) 334-6664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NJ2 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
I20190207001190 CA Practitioner - Nurse Practitioner 7315285897 Reassigns benefits to 1 organization
I20250730002751 NJ Practitioner - Nurse Practitioner 7315285897 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15318900NJMDFamily Nurse Practitioner
0024177584VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic Medical Group of Orange County Inc Family CurrentSince Dec 27, 2018 Accepting new patients
Advocare, LLC Past Accepting new patients

Locations

1150 Baker St
Costa Mesa, CA 92626
Phone (714) 622-7517

921 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 598-0473

33205 US Highway 79
Temecula, CA 92592
Phone (951) 303-3154

Interoperability endpoints

  • Direct secure messaging: jessica.fiore@advocaredoctors.eclinicaldirectplus.com

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.

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": "1751760000000",
    "number": "1487124236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROUTE 73 N BLDG 10, SUITE 320",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-872-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 W CHESTER PIKE STE 303",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193825683",
            "telephone_number": "610-692-2605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3104 Bridgeboro Rd Ste C-2",
            "address_purpose": "LOCATION",
            "city": "Delran",
            "state": "NJ",
            "postal_code": "080759716",
            "country_code": "US",
            "telephone_number": "856-334-6664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIORE",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "MSN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2025-07-06",
        "certification_date": "2025-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024177584",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15318900",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020803",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP020803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.