Jessica Stillabower, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP021019 Issued in PA

Practice address

915 Old Fern Hill Rd Ste 500
West Chester, PA 19380-3420

Phone

(610) 235-4100

Fax

(610) 235-4107

NPI assigned

Oct 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Pentahealth, LLC

  • Family Medicine Physician
  • Exton, PA
  • NPI 1639787740
  NPD (past)

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1740823442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 OLD FERN HILL RD STE 500",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193803420",
            "telephone_number": "610-235-4100",
            "fax_number": "610-235-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 OLD FERN HILL RD STE 500",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193803420",
            "telephone_number": "610-235-4100",
            "fax_number": "610-235-4107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 W Ritner St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191454324",
            "country_code": "US",
            "telephone_number": "215-336-2145",
            "fax_number": "215-336-5732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILLABOWER",
        "first_name": "JESSICA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-25",
        "last_updated": "2021-09-09",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP021019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://direct.hsxsepa.org",
            "affiliation": "Y",
            "endpointDescription": "Healthshare Exchange of Southeastern Pennsylvania",
            "affiliationName": "Vincent E. Baldino D O P C",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1701 W Ritner St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191454324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Linda Sticklin, CRNP
• Janice M Stief, SLP
• Aimee Stiefel, LPC
• Walter Charles Stielau Jr., PHARMD
• Richard B Stiles, DO
• Trudy R Stilp, CRNP
• Barbara H Stipe, M.D.
• Hope Stoddart, PA-C
• Regina Marie Stokes-Miller, LCSW
• Elizabeth Stone, L.P.C.

• Family Nurse Practitioner in West Chester, PA
• Providers in West Chester, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.