Individual provider Active NPI

Rebecca W Stephens, CRNP

  • Women's Health Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1942534433
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
SP010456 Issued in PA
Practice address
833 Chestnut St FL 1
Philadelphia, PA 19107
Phone
(215) 955-5000
NPI assigned
Sep 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X SP010456 PA Primary

Addresses

Primary practice location

833 Chestnut St FL 1
Philadelphia, PA 19107

Mailing address

833 Chestnut St FL 1
Philadelphia, PA 19107-4404
Phone (215) 955-1120

Other practice location 1

3400 Spruce St
1 West Gates
Philadelphia, PA 19104-4206
Phone (215) 662-2730

Other practice location 2

1302 Wolf St
Philadelphia, PA 19148-2912
Phone (215) 952-5170

Other practice location 3

2130 Spring Garden St Fl 1
Philadelphia, PA 19130-3502
Phone (215) 955-9555

Other practice location 4

3400 Spruce St
1 West Gates
Philadelphia, PA 19104-4206
Phone (215) 662-2730

Other practice location 5

3 Crescent Dr Fl 2
Philadelphia, PA 19112-1016
Phone (215) 503-7096

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
I20091120000205 PA Practitioner - Nurse Practitioner 9335288968 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians

Practice addresses (Care Compare)

833 Chestnut St
Suite 1
Philadelphia, PA 19107-4420
Phone (215) 955-5000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince May 1, 2015 Accepting new patients
Jefferson University Physicians CurrentSince Nov 12, 2019 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince May 1, 2015 Accepting new patients
Jefferson University Physicians PastSince Nov 12, 2019 Accepting new patients

Locations

3 Crescent Dr
Fl 2
Philadelphia, PA 19112
Phone (215) 503-7096

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

3400 Spruce St
#1W
Philadelphia, PA 19104
Phone (215) 662-2730

1302 Wolf St
Philadelphia, PA 19148
Phone (215) 952-5170

2130 Spring Garden St
Fl 1
Philadelphia, PA 19130
Phone (215) 955-9555

3701 Market St
Fl 3
Philadelphia, PA 19104
Phone (215) 662-6035

833 Chestnut St
Fl 1
Philadelphia, PA 19107
Phone (215) 955-1085

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 1

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": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1942534433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074404",
            "telephone_number": "215-955-1120",
            "fax_number": "215-955-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "215-955-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Spruce St",
            "address_2": "1 West Gates",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191044206",
            "country_code": "US",
            "telephone_number": "215-662-2730",
            "fax_number": "215-349-5224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1302 Wolf St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191482912",
            "country_code": "US",
            "telephone_number": "215-952-5170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2130 Spring Garden St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191303502",
            "country_code": "US",
            "telephone_number": "215-955-9555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Spruce St",
            "address_2": "1 West Gates",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191044206",
            "country_code": "US",
            "telephone_number": "215-662-2730",
            "fax_number": "215-349-5224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Crescent Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191121016",
            "country_code": "US",
            "telephone_number": "215-503-7096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "REBECCA",
        "middle_name": "W",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-30",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "SP010456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.