Individual provider Active NPI

Edward Jelesiewicz, C.R.N.P.

  • Family Nurse Practitioner
  • Jenkintown, PA
National Provider Identifier
1922400852
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP014221 Issued in PA
Practice address
1515 The Fairway
Jenkintown, PA 19046-1435
Phone
(973) 661-8300
Fax
(973) 661-8333
NPI assigned
Sep 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP014221 PA Primary

Addresses

Primary practice location

1515 The Fairway
Jenkintown, PA 19046-1435

Mailing address

400 Broadacres Dr Ste 445
Bloomfield, NJ 07003-3156
Phone (973) 661-8300

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
I20141120001507 PA Practitioner - Nurse Practitioner 3173745494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redwood Health Partners LLCGroup PAC ID 5092935585, 16 clinicians

Practice addresses (Care Compare)

1515 The Fairway
Jenkintown, PA 19046-1435
Phone (973) 661-8300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Oct 27, 2014 Accepting new patients
University of Penn - Medical Group CurrentSince Oct 27, 2014 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Redwood Health Partners, LLC PastSince Jun 1, 2021 Accepting new patients

Locations

PO B0x 824320
Philadelphia, PA 19182

3400 Spruce St
Fl 1
Philadelphia, PA 19104
Phone (215) 662-3005

Interoperability endpoints

  • Direct secure messaging: edward.jelesiewicz.p2@direct.alegiscare.nextgenshare.com
  • Direct secure messaging: ejelesiewicz28993@evernorth.direct-ci.com

Organizations & group practices 4

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": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1922400852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BROADACRES DR STE 445",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033156",
            "telephone_number": "973-661-8300",
            "fax_number": "973-661-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 THE FAIRWAY",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190461435",
            "telephone_number": "973-661-8300",
            "fax_number": "973-661-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JELESIEWICZ",
        "first_name": "EDWARD",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-23",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP014221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

Verify at the official NPI Registry.