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MAKEDA STELLA CONSTABLE
NPI 1144983008
Nurse Practitioner in Philadelphia, PA

Active since October 18, 2021PECOS Enrolled
3400 SPRUCE ST, PHILADELPHIA, PA 19104(215) 662-6200(215) 615-1298 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2025, Oct 18, 2021 (2 updates tracked since 2021).

About Makeda Stella Constable NPPES

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

MAKEDA STELLA CONSTABLE (NPI 1144983008) is an individual nurse practitioner in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP022386) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144983008
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMAKEDA STELLA CONSTABLE
Location Address3400 SPRUCE STPhiladelphia, PA 19104-4238
Mailing Address3400 Spruce StPhiladelphia, PA 19104-4238 · (215) 662-6200 · Fax (215) 615-1298
Phone(215) 662-6200
Fax(215) 615-1298
Sole ProprietorNo
Enumeration DateOctober 18, 2021
Last NPPES UpdateOctober 7, 20252 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
✔ NPI 1144983008 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 · SP022386
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 ListedRegistered NurseTaxonomy 163W00000X · License RN689974 (PA)
3400 SPRUCE ST, Philadelphia, PA 19104
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Makeda Stella Constable 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.

Medicare Billing Reassignment

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

University Of Penn-Medical Group
Same address
Dermatopathology
3400 SPRUCE ST, 2 RHOADS PAVILION
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group
NPI 1073902169 (215) 662-2737

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
$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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Azathioprine, oral, 50 mg J7500
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers15 claims810 services$4.55 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
27 suppliers105 claims9,810 services$0.27 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers11 claims1,170 services$0.58 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers23 claims3,720 services$0.19 avg. paid by Medicare
Sirolimus, oral, 1 mg J7520
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers18 claims1,470 services$2.31 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
27 suppliers90 claims90 services$18.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ELIZABETH FOGLIA MD
Pediatrics
3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3228
JOEL M STEIN MD
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3005
PRISCILLA NELSON M.D.
Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8310
DR. JASON THOMAS ACKRIVO MD
Internal Medicine (Pulmonary Disease)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 614-0871
JEAN-PHILIPPE RICHARD DMD
Student in an Organized Health Care Education/Training Program
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6176
LEAH M LOPEZ PA-C
Physician Assistant (Medical)
3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7870
JOANIE M GARRATT MD
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3000
JENNIFER DEKERLEGAND
Physical Therapist
3400 SPRUCE ST, 1 WHITE BUILDING
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3265

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 Makeda Constable's NPI number?

The NPI number for Makeda Constable is 1144983008. It was assigned to this individual provider in the NPPES registry on October 18, 2021.

Where is Makeda Constable located?

Makeda Constable practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (215) 662-6200.

What is Makeda Constable's specialty?

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

Is Makeda Constable enrolled in Medicare?

Yes. Makeda Constable is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Makeda Constable's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Makeda Constable 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 Makeda Constable'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 Makeda Constable was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.