Individual provider Active NPI

Jill Defelice

  • Psychiatric/Mental Health Nurse Practitioner
  • Belle Vernon, PA
National Provider Identifier
1952705253
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP028417 Issued in PA
Practice address
507 Broad Ave
Belle Vernon, PA 15012-1405
Phone
(724) 276-2278
Fax
(724) 276-2264
NPI assigned
Oct 15, 2014
Last updated
Jan 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 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 SP013654 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP028417 PA Primary

Addresses

Primary practice location

507 Broad Ave
Belle Vernon, PA 15012-1405

Mailing address

507 Broad Ave
Belle Vernon, PA 15012-1405
Phone (724) 276-2278

Other practice location 1

405 Liberty St
PO Box 646
Perryopolis, PA 15473-0646
Phone (724) 736-0443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP028417PAMDPsychiatric/Mental Health Nurse Practitioner

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1952705253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 BROAD AVE",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150121405",
            "telephone_number": "724-276-2278",
            "fax_number": "724-276-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 BROAD AVE",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150121405",
            "telephone_number": "724-276-2278",
            "fax_number": "724-276-2264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Liberty St",
            "address_2": "PO Box 646",
            "address_purpose": "LOCATION",
            "city": "Perryopolis",
            "state": "PA",
            "postal_code": "154730646",
            "country_code": "US",
            "telephone_number": "724-736-0443",
            "fax_number": "724-736-0454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEFELICE",
        "first_name": "JILL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-15",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP013654",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP028417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Vernon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.