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CARISSA ROSE JACKEL
NPI 1295051654
Pediatrics in Philadelphia, PA

Active since April 10, 2010PECOS Enrolled
3550 MARKET ST, PHILADELPHIA, PA 19104(215) 590-1000(215) 590-4844 Get Directions Write a Review

NPPES record last updated: November 21, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carissa Rose Jackel NPPES

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

CARISSA ROSE JACKEL (NPI 1295051654) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD448416) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1295051654
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCARISSA ROSE JACKEL
Location Address3550 MARKET STPhiladelphia, PA 19104
Mailing Address100 Penn Square East, 9th Floor North TowerPhiladelphia, PA 19107 · (267) 425-9200 · Fax (267) 425-9299
Phone(215) 590-1000
Fax(215) 590-4844
Sole ProprietorNo
Enumeration DateApril 10, 2010
Last NPPES UpdateNovember 21, 2018
✔ NPI 1295051654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MD448416
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.

3550 MARKET ST, Philadelphia, PA 19104
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Secondary Practice Location 1

Location 1111 S 11th St, Suite 2170Philadelphia, PA 19107-4824 · Phone (215) 503-4053

Other Identifiers 1

Medicaid1032348390001PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carissa Rose Jackel 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.

MRS. LEIGH ANN ROLA PA-C
Physician Assistant
3550 MARKET ST, 2ND FLOOR - PEDIATRIC DERMATOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2169
DR. ELIZABETH ELLIOTT MD
Pediatrics
3550 MARKET ST, 5TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-3000
DR. LISA BIGGS MD
Pediatrics
3550 MARKET ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-3000
ANGELA MARIE BURNS MSW
Social Worker
3550 MARKET ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2956
DR. TRUDE HAECKER MD
Pediatrics
3550 MARKET ST, 5TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-3000
PENNSYLVANIA DENTAL GROUP LTD.
Dentist (General Practice)
3550 MARKET ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 387-0883
KAITLIN GOY
Nurse Practitioner (Psychiatric/Mental Health)
3550 MARKET ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
CHRISTINE FORKE CPNP
Nurse Practitioner (Pediatrics)
3550 MARKET ST, CHOP/ADOLESCENT MED, 4TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-3537

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 Carissa Jackel's NPI number?

The NPI number for Carissa Jackel is 1295051654. It was assigned to this individual provider in the NPPES registry on April 10, 2010.

Where is Carissa Jackel located?

Carissa Jackel practices at 3550 Market St, Philadelphia, PA 19104. The listed phone number is (215) 590-1000.

What is Carissa Jackel's specialty?

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

Is Carissa Jackel enrolled in Medicare?

Yes. Carissa Jackel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carissa Jackel was last updated on November 21, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.