JACQUELINE M REDMAN CRNP
NPI 1063753598
Nurse Practitioner in Philadelphia, PA
About Jacqueline M Redman Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE M REDMAN CRNP (NPI 1063753598) is an individual nurse practitioner in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP012724) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Jefferson Health- Northeast, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jacqueline M Redman Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Jacqueline Redman reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19140
- Reassigned Medicare billing, Pennsylvania enrollment
- 447 clinicians in this Medicare group
Philadelphia, PA 19140
- Reassigned Medicare billing, Pennsylvania enrollment
- 5 clinicians in this Medicare group
Philadelphia, PA 19124
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Aria Health Physician Services
- 490 clinicians in this Medicare group
Newtown Square, PA 19073
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,638 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jefferson Health- Northeast
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19140
PHILADELPHIA, PA 19140
PHILADELPHIA, PA 19140
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jacqueline Redman's NPI number?
The NPI number for Jacqueline Redman is 1063753598. It was assigned to this individual provider in the NPPES registry on March 7, 2013.
Where is Jacqueline Redman located?
Jacqueline Redman practices at 3401 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-3601.
What is Jacqueline Redman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jacqueline Redman enrolled in Medicare?
Yes. Jacqueline Redman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jacqueline Redman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Redman reassigns Medicare benefits to 4 organizations: Temple Physicians Inc. (Philadelphia, PA), West Cayuga Medicine PC (Philadelphia, PA), Aria Health Physician Services - Juniata (Philadelphia, PA) and Main Line Healthcare (Newtown Square, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Redman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jacqueline Redman affiliated with any hospitals?
According to CMS data, Jacqueline Redman is affiliated with Jefferson Health- Northeast.
When was this NPI record last updated?
The NPPES record for Jacqueline Redman was last updated on December 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jacqueline M Redman, CRNP · NPI 1063753598
Nurse Practitioner physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 7, 2013.
## Identity
- **NPI:** 1063753598 (Entity type: Individual)
- **Enumerated:** March 7, 2013
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** SP012724 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3401 N BROAD ST, Philadelphia, PA 19140-5103
- **Phone:** (215) 707-3601 · **Fax:** (215) 707-1576
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Temple Physicians Inc. (NPI 1235261041, Philadelphia, PA); West Cayuga Medicine PC (NPI 1811449697, Philadelphia, PA); Aria Health Physician Services - Juniata (NPI 1508991589, Philadelphia, PA); Main Line Healthcare (NPI 1922077643, Newtown Square, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** December 27, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1063753598) · Data from the CMS NPPES public registry.