JASMINE ROSS
NPI 1124896436
Nurse Practitioner in Philadelphia, PA

Q: What is Jasmine Ross's NPI number?

The NPI number for Jasmine Ross is 1124896436. It was assigned to this individual provider in the NPPES registry on December 15, 2023.

Q: What is Jasmine Ross's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jasmine Ross was last updated on May 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since December 15, 2023PECOS Enrolled

3500 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(215) 590-1000 Get Directions Write a Review

NPPES record last updated: May 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 31, 2025, Dec 27, 2024, Dec 15, 2023 (3 updates tracked since 2023).

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About Jasmine Ross NPPES

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

JASMINE ROSS (NPI 1124896436) is an individual nurse practitioner in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP028874) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Malvern.

NPPES Registry Identity

NPI1124896436

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJASMINE ROSS

Location Address3500 CIVIC CENTER BLVDPhiladelphia, PA 19104-4395

Mailing Address7908 Tabor AvePhiladelphia, PA 19111-2655 · (215) 589-5658

Phone(215) 590-1000

Sole ProprietorNo

Enumeration DateDecember 15, 2023

Last NPPES UpdateMay 31, 20253 updates tracked since enumeration

NPPES CertifiedMay 31, 2025

✔ NPI 1124896436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in PA · SP028874

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License SP028874 (PA)

3500 CIVIC CENTER BLVD, Philadelphia, PA 19104

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Secondary Practice Location 1

Location 1100 Deerfield Ln Ste 110Malvern, PA 19355-2100 · Phone (610) 334-8341

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jasmine Ross is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

Most-billed visit code 99214

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.

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