Jamie-Marie Defelice, FNP-BC
Individual provider Active NPI Primary Care Nurse Practitioner · Philadelphia, PA
NPI 1992364889 · NPPES record last updated Sep 3, 2019
Key facts
- NPI
- 1992364889
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- SP020374 (PA)
- Practice address
- 4623 Spruce St
Philadelphia, PA 19139 - Phone
- (215) 474-6100
- NPI assigned
- Jun 13, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Jefferson University Physicians
University of Penn-Medical Group
Practice addresses (Care Compare)
1020 Sansom St
Suite 239
Philadelphia, PA 19107-5002
Phone (215) 955-6844
1800 Lombard St
Suite 206
Philadelphia, PA 19146-1414
Phone (215) 615-2222
3624 Market St
FL 2
Philadelphia, PA 19104-5803
Phone (215) 662-7772
Hospital & facility affiliations
- Thomas Jefferson University Hospital
- Hospital of Univ of Pennsylvania
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190924003106 | PA | Practitioner - Nurse Practitioner | 1850621533 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson University Physicians | Current |
Accepting new patients | |
| University of Penn - Medical Group | Current |
Accepting new patients | |
| University of Penn-Medical Group | Current |
Accepting new patients | |
| University of Penn - Medical Group | Current | Accepting new patients | |
| University of Penn - Medical Group | Current |
Accepting new patients |
Locations
3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669
2301 S Broad St
Fl 1
Philadelphia, PA 19148
Phone (215) 952-9136
1800 Lombard St
Ste 206
Philadelphia, PA 19146
Phone (215) 615-2222
1020 Sansom St
Ste 239
Philadelphia, PA 19107
Phone (215) 955-6844
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | SP020374 | PA | Yes |
Addresses
Primary practice location
4623 Spruce St
Philadelphia, PA 19139
Mailing address
4623 Spruce St
Philadelphia, PA 19139-4542
Phone (215) 474-6100
Other practice location 1
4623 Spruce St
Philadelphia, PA 19139-4542
Phone (215) 474-6100
Other providers in Philadelphia, PA
- Deborah Deeugenio
- Lewis John Deeugenio
- Christina M Defamio
- Carly Defaria
- Christina Nicole Defelice
- Magee L. Defelice
- Sarah Ruth Defelice
- Angelo Joseph Defeo
- Helen Defersha
- Jared Deffler
All providers in Philadelphia, PA · Primary Care Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.