Individual provider Active NPI

Jessie Elizabeth Stefanescu, CRNP

  • Family Nurse Practitioner
  • Lititz, PA
National Provider Identifier
1942934120
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP025905 Issued in PA
Practice address
562 W 2ND Ave
Lititz, PA 17543-1816
Phone
(717) 626-2167
NPI assigned
Jul 13, 2022
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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 SP025905 PA Primary

Addresses

Primary practice location

562 W 2ND Ave
Lititz, PA 17543-1816

Mailing address

325 E Clay St
Lancaster, PA 17602-2031
Phone (717) 314-2500

Other practice location 1

51 Peters Rd Ste 201
Lititz, PA 17543-7685
Phone (717) 626-2167

Other names 1

  • Jessie Elizabeth Rife Former name

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
I20221025000023 PA Practitioner - Nurse Practitioner 5193191625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

562 W 2ND Ave
Penn Medicine LGHP Family Medicine Lititz
Lititz, PA 17543-1816
Phone (717) 626-2167

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP025905PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Sep 18, 2022 Accepting new patients
Lancaster General Medical Group CurrentSince Sep 18, 2022 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

1097 Commercial Ave
East Petersburg, PA 17520
Phone (717) 544-1952

426 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 299-1301

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

51 Peters Rd
Ste 201
Lititz, PA 17543
Phone (717) 544-6260

562 W 2nd Ave
Lititz, PA 17543
Phone (717) 626-2167

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1942934120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E CLAY ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022031",
            "telephone_number": "717-314-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 W 2ND AVE",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175431816",
            "telephone_number": "717-626-2167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 Peters Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Lititz",
            "state": "PA",
            "postal_code": "175437685",
            "country_code": "US",
            "telephone_number": "717-626-2167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEFANESCU",
        "first_name": "JESSIE",
        "middle_name": "ELIZABETH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP025905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSIE",
            "last_name": "RIFE",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lititz, PA

Sources for this page

Verify at the official NPI Registry.