Active NPI
Jennifer Stokes
- Family Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1710411749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP017501
- Practice address
- 4700 Wissahickon Ave
Philadelphia, PA 19144-4248 - Phone
- (215) 843-9720
- NPI assigned
- Apr 17, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP017501 | PA | Primary |
| Registered Nurse | 163W00000X | L1-0047728 | DE | |
| Registered Nurse | 163W00000X | RN464196 | PA | |
| Nurse Practitioner | 363L00000X | LG-0001038 | DE |
Addresses
Primary practice location
4700 Wissahickon Ave
Philadelphia, PA 19144-4248
Mailing address
4700 Wissahickon Ave
Philadelphia, PA 19144-4248
Phone (215) 843-9720
Other practice location 1
1802 W 4th St
Wilmington, DE 19805-3420
Phone (302) 655-5822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1-0047728 | DE | MD | Registered Nurse |
| RN464196 | PA | MD | Registered Nurse |
| LG-0001038 | DE | MD | Nurse Practitioner |
| SP017501 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mazzoni Center | Current | Accepting new patients | |
| Jefferson University Physicians | Past | Accepting new patients |
Locations
1348 Bainbridge St
Philadelphia, PA 19147
Phone (215) 563-0652
1201 Locust St
Philadelphia, PA 19107
Phone (215) 985-9206
Interoperability endpoints
- jennifer.stokes.1@2819.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1477631307
-
- Gastroenterology Physician
- Phila, PA
- NPI 1205898723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1710411749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 WISSAHICKON AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191444248",
"telephone_number": "215-843-9720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 WISSAHICKON AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191444248",
"telephone_number": "215-843-9720"
}
],
"practiceLocations": [
{
"address_1": "1802 W 4th St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "DE",
"postal_code": "198053420",
"country_code": "US",
"telephone_number": "302-655-5822",
"fax_number": "302-322-6251",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STOKES",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-17",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP017501",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DE",
"license": "L1-0047728",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN464196",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DE",
"license": "LG-0001038",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.