ROXAN BARDALL CRNP
NPI 1376146183
Nurse Practitioner - Critical Care Medicine in Philadelphia, PA
About Roxan Bardall Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROXAN BARDALL CRNP (NPI 1376146183) is an individual critical care medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP022642) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Roxan Bardall Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Roxan Bardall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19107
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,739 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Thomas Jefferson University Hospital
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19148 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHILADELPHIA, PA 19148
PHILADELPHIA, PA 19148
PHILADELPHIA, PA 19148
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 Roxan Bardall's NPI number?
The NPI number for Roxan Bardall is 1376146183. It was assigned to this individual provider in the NPPES registry on November 16, 2020.
Where is Roxan Bardall located?
Roxan Bardall practices at 2301 S Broad St, Philadelphia, PA 19148. The listed phone number is (215) 955-6000.
What is Roxan Bardall's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.
Is Roxan Bardall enrolled in Medicare?
Yes. Roxan Bardall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Roxan Bardall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Roxan Bardall reassigns Medicare benefits to Jefferson University Physicians (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 Roxan Bardall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Roxan Bardall affiliated with any hospitals?
According to CMS data, Roxan Bardall is affiliated with Thomas Jefferson University Hospital.
When was this NPI record last updated?
The NPPES record for Roxan Bardall was last updated on November 16, 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.
# Roxan Bardall, CRNP · NPI 1376146183
Critical Care Medicine physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since November 16, 2020.
## Identity
- **NPI:** 1376146183 (Entity type: Individual)
- **Enumerated:** November 16, 2020
- **Primary specialty:** Nurse Practitioner - Critical Care Medicine · taxonomy 363LC0200X
- **State license:** SP022642 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 2301 S BROAD ST, Philadelphia, PA 19148-3542
- **Phone:** (215) 955-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Jefferson University Physicians (NPI 1326093675, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Jefferson Medical College Of Thomas Jefferson University, class of 2020
## Record status
- **NPPES last updated:** November 16, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1376146183) · Data from the CMS NPPES public registry.