Individual provider Active NPI

Jessica Plocher, CRNP

  • Nurse Practitioner
  • Paoli, PA
National Provider Identifier
1609279058
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP014251 Issued in PA
Practice address
30 S Valley Rd Ste 101
Paoli, PA 19301-1469
Phone
(267) 358-6099
NPI assigned
Sep 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01285100 NJ
Nurse Practitioner 363L00000X SP014251 PA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X TPAN223 FL

Addresses

Primary practice location

30 S Valley Rd Ste 101
Paoli, PA 19301-1469

Mailing address

30 S Valley Rd Ste 101
Paoli, PA 19301-1469
Phone (267) 358-6099

Other practice location 1

1528 Walnut St Ste 1414
Philadelphia, PA 19102-3610
Phone (267) 358-6155

Other practice location 2

3477 Corporate Pkwy Ste 100
Center Valley, PA 18034-8237
Phone (484) 763-4025

Other practice location 3

915 Haddon Ave Ste 1
Collingswood, NJ 08108-1900
Phone (609) 573-3314

Other practice location 4

1615 S Congress Ave Ste 103
Delray Beach, FL 33445-6326
Phone (561) 940-4312

Other practice location 5

301 Grant St Ste 270
Pittsburgh, PA 15219-1408
Phone (878) 999-8390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2020 through Apr 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP014251PAMDNurse Practitioner
TPAN223FLMDPsychiatric/Mental Health Nurse Practitioner
26NJ01285100NJMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1609279058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S VALLEY RD STE 101",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011469",
            "telephone_number": "267-358-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S VALLEY RD STE 101",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011469",
            "telephone_number": "267-358-6099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1528 Walnut St Ste 1414",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191023610",
            "country_code": "US",
            "telephone_number": "267-358-6155",
            "fax_number": "484-628-5289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3477 Corporate Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Center Valley",
            "state": "PA",
            "postal_code": "180348237",
            "country_code": "US",
            "telephone_number": "484-763-4025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 Haddon Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Collingswood",
            "state": "NJ",
            "postal_code": "081081900",
            "country_code": "US",
            "telephone_number": "609-573-3314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1615 S Congress Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334456326",
            "country_code": "US",
            "telephone_number": "561-940-4312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Grant St Ste 270",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152191408",
            "country_code": "US",
            "telephone_number": "878-999-8390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLOCHER",
        "first_name": "JESSICA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01285100",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP014251",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "TPAN223",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.