DR. JESSICA FANELLI MD
NPI 1396531448
Student in an Organized Health Care Education/Training Program in Wilkes Barre, PA

Q: What is Jessica Fanelli's NPI number?

The NPI number for Jessica Fanelli is 1396531448. It was assigned to this individual provider in the NPPES registry on April 16, 2025.

Q: What is Jessica Fanelli's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Fanelli was last updated on April 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 16, 2025PECOS Enrolled

166 HANOVER ST, WILKES BARRE, PA 18702(570) 808-8780(570) 808-8785 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Jessica Fanelli Md NPPES

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

DR. JESSICA FANELLI MD (NPI 1396531448) is an individual student in an organized health care education/training program in Wilkes Barre, Pennsylvania and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396531448

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. JESSICA FANELLICredential: MD

Location Address166 HANOVER STWilkes Barre, PA 18702-3549

Mailing Address166 Hanover StWilkes Barre, PA 18702-3549 · (570) 808-8780 · Fax (570) 808-8785

Phone(570) 808-8780

Fax(570) 808-8785

Sole ProprietorNo

Enumeration DateApril 16, 2025

NPPES CertifiedApril 13, 2025

✔ NPI 1396531448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

166 HANOVER ST, Wilkes Barre, PA 18702

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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 (PECOS)

Dr. Jessica Fanelli Md 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.

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