Active NPI
Jessica Plocher, CRNP
- Nurse Practitioner
- Paoli, PA
National Provider Identifier
1609279058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP014251
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| SP014251 | PA | MD | Nurse Practitioner |
| TPAN223 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
| 26NJ01285100 | NJ | MD | Psychiatric/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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.