Active NPI
Adriana Jepsen, MD
- Neonatal-Perinatal Medicine Physician
- Naples, FL
National Provider Identifier
1790773604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- ME157577
- Practice address
- 11190 Health Park Blvd
Naples, FL 34110-5729 - Phone
- (239) 624-6120
- NPI assigned
- Oct 13, 2005
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD056644L | PA | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | MD056644L | PA | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | ME157577 | FL | Primary |
Addresses
Primary practice location
11190 Health Park Blvd
Naples, FL 34110-5729
Mailing address
11190 Health Park Blvd
Naples, FL 34110-5729
Other practice location 1
3401 Civic Center Blvd
Children's Hospital of Philadelphia - Neonatology
Philadelphia, PA 19104-4319
Phone (215) 590-1944
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00174563100004 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME157577 | FL | MD | Neonatal-Perinatal Medicine Physician |
| MD056644L | PA | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware Valley Community Health, Inc. | Past | Accepting new patients |
Interoperability endpoints
- adriana.restrepo-ormsby@direct.einstein.edu
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1235956921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1790773604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11190 HEALTH PARK BLVD",
"city": "NAPLES",
"state": "FL",
"postal_code": "341105729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11190 HEALTH PARK BLVD",
"city": "NAPLES",
"state": "FL",
"postal_code": "341105729",
"telephone_number": "239-624-6120"
}
],
"practiceLocations": [
{
"address_1": "3401 Civic Center Blvd",
"address_2": "Children's Hospital of Philadelphia - Neonatology",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191044319",
"country_code": "US",
"telephone_number": "215-590-1944",
"fax_number": "215-590-4454",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEPSEN",
"first_name": "ADRIANA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-13",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD056644L",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "PA",
"license": "MD056644L",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "FL",
"license": "ME157577",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00174563100004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.