Individual provider Active NPI

Jessica Beresky

  • Women's Health Nurse Practitioner
  • Paoli, PA
National Provider Identifier
1710741244
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
SP028477 Issued in PA
Practice address
255 W Lancaster Ave Ste 227
Paoli, PA 19301-1765
Phone
(610) 889-9550
NPI assigned
Feb 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP028477 PA
Women's Health Nurse Practitioner 363LW0102X SP028477 PA Primary

Addresses

Primary practice location

255 W Lancaster Ave Ste 227
Paoli, PA 19301-1765

Mailing address

255 W Lancaster Ave Ste 227
Paoli, PA 19301-1765
Phone (610) 889-9550

Other practice location 1

826 Main St Ste 203
Phoenixville, PA 19460-4459
Phone (484) 628-5455

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240312003993 PA Practitioner - Nurse Practitioner 8729424783 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Womens Health Group LLCGroup PAC ID 2961316328, 352 clinicians

Practice addresses (Care Compare)

255 W Lancaster Ave
Paoli, PA 19301-1763
Phone (610) 889-9550

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP028477PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenixville Clinic Company LLC CurrentSince Apr 29, 2024 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Apr 29, 2024 Accepting new patients
Womens Health Care Group of Pennsylvania LLC CurrentSince Mar 24, 2025 Accepting new patients
Regional Womens Health Group LLC CurrentSince Apr 28, 2025 Accepting new patients
Professional Anesthesia Services of North America P.C. PastSince Mar 24, 2025 Accepting new patients

Locations

3050 Hamilton Blvd
Ste 200
Allentown, PA 18103
Phone (610) 435-9575

919 Conestoga Rd
Ste 104
Bryn Mawr, PA 19010
Phone (610) 525-6400

255 W Lancaster Ave
Ste 227
Paoli, PA 19301
Phone (610) 889-9550

255 W Lancaster Ave
Paoli, PA 19301
Phone (484) 337-4286

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

826 Main St
Ste 203
Phoenixville, PA 19460
Phone (610) 983-1545

Interoperability endpoints

  • Direct secure messaging: jessica.beresky@axia.eclinicaldirectplus.com

Organizations & group practices 5

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": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1710741244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W LANCASTER AVE STE 227",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011765",
            "telephone_number": "610-889-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W LANCASTER AVE STE 227",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011765",
            "telephone_number": "610-889-9550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "826 Main St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Phoenixville",
            "state": "PA",
            "postal_code": "194604459",
            "country_code": "US",
            "telephone_number": "484-628-5455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERESKY",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-06",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP028477",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "SP028477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.