ROXAN BARDALL CRNP
NPI 1376146183
Nurse Practitioner - Critical Care Medicine in Philadelphia, PA

Q: 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.

Q: 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.

Q: 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.

Active since November 16, 2020PECOS EnrolledAccepts Medicare Assignment

2301 S BROAD ST, PHILADELPHIA, PA 19148(215) 955-6000 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1376146183

Entity TypeIndividualFemale

Primary Taxonomy363LC0200X

Provider Legal NameROXAN BARDALLCredential: CRNP

Location Address2301 S BROAD STPhiladelphia, PA 19148-3542

Mailing Address1201 Jackson St Unit 144Philadelphia, PA 19148-2943 · (201) 660-3975

Phone(215) 955-6000

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2020

Enumeration DateNovember 16, 2020

NPPES CertifiedNovember 16, 2020

✔ NPI 1376146183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LC0200X

License✔ Licensed in PA · SP022642

2301 S BROAD ST, Philadelphia, PA 19148

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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 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.

PECOS PAC ID4880097930

PECOS Enrollment IDI20210727001397

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.

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, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390174

Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County

Emergency services Birthing friendly

Physician 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.

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.

DR. SUNEIL SEETHARAM MD

Hospitalist

2301 S BROAD ST
PHILADELPHIA, PA 19148

Philadelphia County (215) 952-9000

HARVEY J. BELLIN ASSOCIATES

Pathology (Clinical Pathology/Laboratory Medicine)

2301 S BROAD ST
PHILADELPHIA, PA 19148

Philadelphia County (610) 459-3113

THOMAS JEFFERSON UNIVERSITY HOSPITAL

Pharmacy (Institutional Pharmacy)

2301 S BROAD ST
PHILADELPHIA, PA 19148

Philadelphia County (215) 952-9385

JILL W. CUNNINGHAM PA

Physician Assistant

2301 S BROAD ST, SUITE 205
PHILADELPHIA, PA 19148

Philadelphia County (215) 551-8660

MELVIN L MOSES MD

Surgery

2301 S BROAD ST, SUITE 201
PHILADELPHIA, PA 19148

Philadelphia County (215) 952-9919

METHODIST ASSOCIATES IN HEALTHCARE, INC.

Family Medicine

2301 S BROAD ST
PHILADELPHIA, PA 19148

Philadelphia County (215) 952-9936

DEAN STEINBERG MD

Anesthesiology

2301 S BROAD ST
PHILADELPHIA, PA 19148

Philadelphia County (215) 952-9323

ROBERT MICHAEL ANDREWS CRNA

Nurse Anesthetist, Certified Registered

2301 S BROAD ST
PHILADELPHIA, PA 19148

Philadelphia County (215) 952-9323

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.

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.