Individual provider Active NPI

Jessica V McGill, CRNP

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1710311345
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP013118 Issued in PA
Practice address
3400 Civic Center Blvd
2ND Floor West Pavillion
Philadelphia, PA 19104-5127
Phone
(215) 615-2222
Fax
(215) 875-4865
NPI assigned
Aug 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 26NJ01352200 NJ
Family Nurse Practitioner 363LF0000X SP013118 PA Primary

Addresses

Primary practice location

3400 Civic Center Blvd
2ND Floor West Pavillion
Philadelphia, PA 19104-5127

Mailing address

3400 Civic Center Blvd
Philadelphia, PA 19104-5127
Phone (215) 615-2222

Other practice location 1

205 E Laurel Rd
Stratford, NJ 08084-1301
Phone (856) 557-7539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, 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
I20150325001620 PA Practitioner - Nurse Practitioner 2961630256 Reassigns benefits to 2 organizations
I20230505000727 NJ Practitioner - Nurse Practitioner 2961630256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
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, shared by 15 NPIs, 3,433 clinicians

Practice addresses (Care Compare)

3737 Market Street 9TH Floor
Penn Family Care University City OB
Philadelphia, PA 19104-5548
Phone (215) 662-8777

445 Hurffville Crosskeys Rd
Sewell, NJ 08080-2337
Phone (844) 542-2273

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Feb 25, 2019 Accepting new patients
University of Penn - Medical Group Current Accepting new patients
Kennedy Medical Group Practice, P.C. CurrentSince Jun 15, 2021 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince Feb 25, 2019 Accepting new patients
Kennedy Medical Group Practice, P.C. CurrentSince May 1, 2023 Accepting new patients
Kennedy Medical Group Practice PC CurrentSince May 1, 2023 Accepting new patients
University of Penn - Medical Group CurrentSince Feb 25, 2019 Accepting new patients
Res Ventures, LLC Past Accepting new patients
Kennedy Medical Group Practice P.C. Past Accepting new patients

Locations

457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091

445 Hurffville Crosskeys Rd
Ste A
Sewell, NJ 08080
Phone (856) 557-5573

445 Hurffville Crosskeys Rd
Sewell, NJ 08080
Phone (609) 332-3852

205 E Laurel Rd
Stratford, NJ 08084
Phone (856) 344-7360

151 Fries Mill Rd
Ste 301
Turnersville, NJ 08012
Phone (856) 374-1881

165 Princeton Ave
West Deptford, NJ 08096
Phone (856) 384-0210

3400 Civic Center Blvd
Fl 2
Philadelphia, PA 19104

3737 Market St
#9
Philadelphia, PA 19104
Phone (215) 294-9525

3400 Convention Ave
Philadelphia, PA 19104
Phone (215) 662-2300

Interoperability endpoints

  • Direct secure messaging: jessicamcgill@nncc.allscriptsdirect.net

Organizations & group practices 10

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": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1710311345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045127",
            "telephone_number": "215-615-2222",
            "fax_number": "215-875-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD",
            "address_2": "2ND FLOOR WEST PAVILLION",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045127",
            "telephone_number": "215-615-2222",
            "fax_number": "215-875-4865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 E Laurel Rd",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "NJ",
            "postal_code": "080841301",
            "country_code": "US",
            "telephone_number": "856-557-7539",
            "fax_number": "856-875-9556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGILL",
        "first_name": "JESSICA",
        "middle_name": "V",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-30",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ01352200",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP013118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.