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DR. NICOLE LYNN JEZEWSKI M.D.
NPI 1184157018
Pediatrics in Souderton, PA

Active since April 07, 2017PECOS Enrolled
3456 BETHLEHEM PIKE FL 2, SOUDERTON, PA 18964(215) 723-7177 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nicole Lynn Jezewski M.d. NPPES

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

DR. NICOLE LYNN JEZEWSKI M.D. (NPI 1184157018) is an individual pediatrics provider in Souderton, Pennsylvania, licensed in Pennsylvania (MD470574) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184157018
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. NICOLE LYNN JEZEWSKICredential: M.D.
Location Address3456 BETHLEHEM PIKE FL 2Souderton, PA 18964-1051
Mailing Address3456 Bethlehem Pike Fl 2Souderton, PA 18964-1051 · (215) 723-7177
Phone(215) 723-7177
Sole ProprietorNo
Enumeration DateApril 7, 2017
Last NPPES UpdateDecember 4, 2020
NPPES CertifiedDecember 4, 2020
✔ NPI 1184157018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MD470574
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3456 BETHLEHEM PIKE FL 2, Souderton, PA 18964
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicole Lynn Jezewski M.d. 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 18964 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RINU JOHN CPNP
Nurse Practitioner (Pediatrics)
3456 BETHLEHEM PIKE FL 2
SOUDERTON, PA 18964
Montgomery County (215) 723-7177
GRAND VIEW HOSPITAL
Family Medicine
3456 BETHLEHEM PIKE FL 2
SOUDERTON, PA 18964
Montgomery County (215) 453-0560

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 Nicole Jezewski's NPI number?

The NPI number for Nicole Jezewski is 1184157018. It was assigned to this individual provider in the NPPES registry on April 7, 2017.

Where is Nicole Jezewski located?

Nicole Jezewski practices at 3456 Bethlehem Pike Fl 2, Souderton, PA 18964. The listed phone number is (215) 723-7177.

What is Nicole Jezewski's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Nicole Jezewski enrolled in Medicare?

Yes. Nicole Jezewski is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Jezewski was last updated on December 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.