JENNA MARIE PIETRUCHA
NPI 1386369130
Nurse Practitioner - Family in Philadelphia, PA
About Jenna Marie Pietrucha NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNA MARIE PIETRUCHA (NPI 1386369130) is an individual family provider in Philadelphia, Pennsylvania, licensed in New Jersey (26NJ01377900) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and maintains a secondary practice location in Philadelphia.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Jenna Marie Pietrucha 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 Reassignments
3Medicare enrollment records show Jenna Pietrucha reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19107
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,488 clinicians in this Medicare group
Cherry Hill, NJ 08034
- Reassigned Medicare billing, New Jersey enrollment
- Also billed through NPI 1508019241 (New Jersey)
- 793 clinicians in this Medicare group
Medford, NJ 08055
- Reassigned Medicare billing, New Jersey enrollment
- 6 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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Luke's Hospital Bethlehem
Acute Care Hospitals · Bethlehem, PAHospital Of Univ Of Pennsylvania
Acute Care Hospitals · Philadelphia, PAWilkes-Barre General Hospital
Acute Care Hospitals · Wilkes-Barre, PAChester County Hospital
Acute Care Hospitals · West Chester, PAPennsylvania Hospital
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19107 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 19107
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
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 Jenna Pietrucha's NPI number?
The NPI number for Jenna Pietrucha is 1386369130. It was assigned to this individual provider in the NPPES registry on October 4, 2022.
Where is Jenna Pietrucha located?
Jenna Pietrucha practices at 801 Spruce St, Philadelphia, PA 19107. The listed phone number is (215) 316-5151.
What is Jenna Pietrucha's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jenna Pietrucha enrolled in Medicare?
Yes. Jenna Pietrucha 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 organizations bill Medicare for Jenna Pietrucha's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jenna Pietrucha reassigns Medicare benefits to 3 organizations: University Of Penn-Medical Group (Philadelphia, PA), Clinical Health Care Associates Of New Jersey, PC (Cherry Hill, NJ) and Thomas J Marzili MD LLC (Medford, NJ). Each 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 Jenna Pietrucha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jenna Pietrucha affiliated with any hospitals?
According to CMS data, Jenna Pietrucha is affiliated with St Luke's Hospital Bethlehem, Hospital Of Univ Of Pennsylvania, Wilkes-Barre General Hospital, Chester County Hospital and Pennsylvania Hospital.
When was this NPI record last updated?
The NPPES record for Jenna Pietrucha was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jenna Marie Pietrucha · NPI 1386369130
Family physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 4, 2022.
## Identity
- **NPI:** 1386369130 (Entity type: Individual)
- **Enumerated:** October 4, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ01377900 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 801 SPRUCE ST, Philadelphia, PA 19107-5701
- **Phone:** (215) 316-5151
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): University Of Penn-Medical Group (NPI 1669860854, Philadelphia, PA); Clinical Health Care Associates Of New Jersey, PC (NPI 1134278971, Cherry Hill, NJ); Thomas J Marzili MD LLC (NPI 1801131412, Medford, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** March 21, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1386369130) · Data from the CMS NPPES public registry.