Individual provider Active NPI

Jade Lee, CRNP

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1891153235
Registry record updated Jan 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP015890 Issued in PA
Practice address
515 W Chelten Ave
Philadelphia, PA 19144-4414
Phone
(215) 848-6700
NPI assigned
Jan 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN556188 PA
Family Nurse Practitioner 363LF0000X SP015890 PA Primary

Addresses

Primary practice location

515 W Chelten Ave
Philadelphia, PA 19144-4414

Mailing address

1472 McKinley St
Philadelphia, PA 19149-2705
Phone (267) 257-0093

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
I20170117002183 PA Practitioner - Nurse Practitioner 6305128877 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ih Physician Services PCGroup PAC ID 5991165458, 56 clinicians

Practice addresses (Care Compare)

Bala Cynwyd, PA 19004
Phone (215) 240-1230

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN556188PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Drexel University CurrentSince Nov 5, 2016 Accepting new patients
Ih Physician Services, PC CurrentSince Nov 3, 2025 Accepting new patients
Drexel University CurrentSince Nov 5, 2016 Accepting new patients
Ih Physician Services PC CurrentSince Nov 3, 2025 Accepting new patients
Drexel University Current Accepting new patients
Ahpaffs,LLC PastSince Jun 4, 2021 Accepting new patients

Locations

333 E City Ave
Ste 401
Bala Cynwyd, PA 19004
Phone (215) 240-1230

333 Technology Dr
Ste 250
Canonsburg, PA 15317
Phone (724) 271-7000

1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530

750 Holiday Dr
Ste 110
Pittsburgh, PA 15220
Phone (412) 503-9842

Interoperability endpoints

  • Direct secure messaging: jade.lee.p1@direct.alegiscare.nextgenshare.com
  • Direct secure messaging: jade.lee.p2@direct.alegiscare.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1454198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454198400000",
    "number": "1891153235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1472 MCKINLEY ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191492705",
            "telephone_number": "267-257-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W CHELTEN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191444414",
            "telephone_number": "215-848-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JADE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-31",
        "last_updated": "2016-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN556188",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.