MRS. STEPHANIE MARIE TILLERY CRNP FNP-C
NPI 1316792997
Nurse Practitioner in Philadelphia, PA

Active since April 18, 2024PECOS Enrolled
1010 W LEHIGH AVE, PHILADELPHIA, PA 19133(267) 273-7000 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 11, 2025, Apr 18, 2024 (2 updates tracked since 2024).

About Mrs. Stephanie Marie Tillery Crnp Fnp-c NPPES

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

MRS. STEPHANIE MARIE TILLERY CRNP FNP-C (NPI 1316792997) is an individual nurse practitioner in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP029587) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1316792997
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. STEPHANIE MARIE TILLERYCredential: CRNP FNP-C
Location Address1010 W LEHIGH AVEPhiladelphia, PA 19133-1640
Mailing Address1010 W Lehigh AvePhiladelphia, PA 19133-1640 · (267) 273-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 18, 2024
Last NPPES UpdateAugust 11, 20252 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
NPI 1316792997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in PA · SP029587
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.

1010 W LEHIGH AVE, Philadelphia, PA 19133

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Stephanie Marie Tillery Crnp Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769986843
PECOS Enrollment IDI20250920000743
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 19133 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 8

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

Internal Medicine (Geriatric Medicine)
1010 W LEHIGH AVE
PHILADELPHIA, PA 19133
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1010 W LEHIGH AVE
PHILADELPHIA, PA 19133
Nurse Practitioner (Acute Care)
1010 W LEHIGH AVE
PHILADELPHIA, PA 19133
Counselor (Professional)
1010 W LEHIGH AVE
PHILADELPHIA, PA 19133
Nurse Practitioner (Family)
1010 W LEHIGH AVE
PHILADELPHIA, PA 19133
Clinic/Center (Urgent Care)
1010 W LEHIGH AVE
PHILADELPHIA, PA 19133
Nurse Practitioner (Family)
1010 W LEHIGH AVE
PHILADELPHIA, PA 19133
Clinic/Center (Urgent Care)
1010 W LEHIGH AVE
PHILADELPHIA, PA 19133

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316792997, enumerated as an "individual" on April 18, 2024.

The provider is located at 1010 W LEHIGH AVE PHILADELPHIA, PA 19133 and the phone number is (267) 273-7000.

Nurse Practitioner with taxonomy code 363L00000X.