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JORDAN ELIZABETH VITELLI PA-C
NPI 1073259362
Physician Assistant in Philadelphia, PA

Active since May 09, 2022PECOS Enrolled
3737 MARKET STREET, 8TH FLOOR, PHILADELPHIA, PA 19104(215) 662-3487(215) 349-5534 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 23, 2026, Sep 6, 2024, Aug 29, 2022 and 1 more (4 updates tracked since 2022).

About Jordan Elizabeth Vitelli Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN ELIZABETH VITELLI PA-C (NPI 1073259362) is an individual physician assistant in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA063847) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Philadelphia College Of Osteopathic Medicine (2022).

NPPES Registry Identity

NPI1073259362
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJORDAN ELIZABETH VITELLICredential: PA-C
Location Address3737 MARKET STREET, 8TH FLOORPhiladelphia, PA 19104-5501
Mailing Address3737 Market Street, 8th FloorPhiladelphia, PA 19104-5501 · (215) 662-3487 · Fax (215) 349-5534
Phone(215) 662-3487
Fax(215) 349-5534
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2022
Enumeration DateMay 9, 2022
Last NPPES UpdateMarch 23, 20264 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1073259362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · MA063847
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3737 MARKET STREET, Philadelphia, PA 19104
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Secondary Practice Location 1

Location 14170 City AvePhiladelphia, PA 19131-1694 · Phone (267) 966-5452

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Elizabeth Vitelli Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224412556
PECOS Enrollment IDI20260320000709
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jordan Vitelli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Penn-Medical Group
Same address
Sports Medicine
3737 MARKET ST, 9TH FLOOR
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group
NPI 1285022202 (215) 662-8777

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ARSIA JAMALI
Internal Medicine (Gastroenterology)
3737 MARKET STREET, 11TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8900
SHAVON ROBIN TATUM RN, FNP-C
Nurse Practitioner
3737 MARKET STREET, 9TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8777
RACHEL DAYNO MD
Internal Medicine (Rheumatology)
3737 MARKET STREET, 8TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-4333
SARA JESSICA DOWNIE PA, MPH
Physician Assistant
3737 MARKET STREET, 4TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (856) 264-1549
RACHEL ELIZABETH KISHTON MD
Family Medicine
3737 MARKET STREET, 9TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8777
JULIA CHRISTINE REGER CRNP
Nurse Practitioner (Gerontology)
3737 MARKET STREET, 8TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3487
SAVANNAH MARIE ALVARADO LIPOFF MD
Dermatology
3737 MARKET STREET, 11TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8060
DR. JACQUELINE DEANNA WILSON MD
Internal Medicine
3737 MARKET STREET, 9TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8777

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 Jordan Vitelli's NPI number?

The NPI number for Jordan Vitelli is 1073259362. It was assigned to this individual provider in the NPPES registry on May 9, 2022.

Where is Jordan Vitelli located?

Jordan Vitelli practices at 3737 Market Street 8th Floor, Philadelphia, PA 19104. The listed phone number is (215) 662-3487.

What is Jordan Vitelli's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jordan Vitelli enrolled in Medicare?

Yes. Jordan Vitelli is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jordan Vitelli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Vitelli reassigns Medicare benefits to University Of Penn-Medical Group (Philadelphia, PA). The 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 Jordan Vitelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jordan Vitelli was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.