NPIMap

Individual provider Active NPI

Jeannie Stephen, CRNP

  • Family Nurse Practitioner
  • Gilbertsville, PA
National Provider Identifier
1952516858
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP011611 Issued in PA
Practice address
1107 Grosser Rd Ste 204
Gilbertsville, PA 19525-9228
Phone
(484) 498-6215
NPI assigned
May 14, 2007
Last updated
Mar 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP011611 PA Primary
Registered Nurse 163W00000X RN289877L PA

Addresses

Primary practice location

1107 Grosser Rd Ste 204
Gilbertsville, PA 19525-9228

Mailing address

838 Penn St
Reading, PA 19602-1108
Phone (610) 988-4838

Other practice location 1

838 Penn St
Reading, PA 19602-1108
Phone (610) 988-4838 ext. 4093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111102000281 PA Practitioner - Nurse Practitioner 5395918692 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1107 Grosser Rd
Suite 205 LVPG Family Medicine Gilbertsvil
Gilbertsville, PA 19525-9228
Phone (484) 498-6215

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN289877LPAMDRegistered Nurse
SP011611PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reading Hospital CurrentSince Sep 13, 2011 Accepting new patients
Reading Hospital CurrentSince Sep 13, 2011 Accepting new patients
Berks Community Health Center CurrentSince Apr 1, 2018 Accepting new patients
Berks Community Health Center CurrentSince Apr 1, 2018 Accepting new patients
Reading Hospital Current Accepting new patients

Locations

1040 Liggett Ave
Reading, PA 19611
Phone (610) 775-1431

645 Penn St
Ste 301
Reading, PA 19601
Phone (484) 772-4073

838 Penn St
Reading, PA 19602
Phone (610) 988-4838

206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437

6 Spruce St
West Reading, PA 19611
Phone (484) 628-8269

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

Hospital & facility affiliations 11

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1952516858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 PENN ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196021108",
            "telephone_number": "610-988-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 GROSSER RD STE 204",
            "city": "GILBERTSVILLE",
            "state": "PA",
            "postal_code": "195259228",
            "telephone_number": "484-498-6215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "838 Penn St",
            "address_purpose": "LOCATION",
            "city": "Reading",
            "state": "PA",
            "postal_code": "196021108",
            "country_code": "US",
            "telephone_number": "610-988-4838 x4093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHEN",
        "first_name": "JEANNIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP011611",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN289877L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbertsville, PA

Sources for this page

Verify at the official NPI Registry.