MRS. CHRISTINE NIERODA CLANCY CRNP
NPI 1487677084
Nurse Practitioner - Gerontology in Philadelphia, PA

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
211 S. 9TH STREET, SUITE 600, PHILADELPHIA, PA 19107(215) 955-1925(215) 928-3160 Get Directions Write a Review

NPPES record last updated: October 25, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 25, 2018, Apr 20, 2017, Feb 18, 2016 and 1 more (4 updates tracked since 2016).

About Mrs. Christine Nieroda Clancy Crnp NPPES

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

MRS. CHRISTINE NIERODA CLANCY CRNP (NPI 1487677084) is an individual gerontology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (VP004645C) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and maintains a secondary practice location in Bala Cynwyd.

NPPES Registry Identity

NPI1487677084
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMRS. CHRISTINE NIERODA CLANCYCredential: CRNP
Location Address211 S. 9TH STREET, SUITE 600Philadelphia, PA 19107
Mailing Address211 S. 9th Street, Suite 600Philadelphia, PA 19107-6810 · (215) 955-1925 · Fax (215) 928-3160
Fax(215) 928-3160
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJuly 25, 2006
Last NPPES UpdateOctober 25, 20184 updates tracked since enumeration
NPI 1487677084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in PA · VP004645C
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License VP004645C (PA)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License VP004645C (PA)
211 S. 9TH STREET, Philadelphia, PA 19107

Secondary Practice Location 1

Location 1225 E City Ave, Suite 109Bala Cynwyd, PA 19004-1704 · Phone (215) 503-3838 · Fax (610) 664-2945

Other Identifiers 1

Medicaid103075213PA

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

Mrs. Christine Nieroda Clancy 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 ID1658311717
PECOS Enrollment IDI20050509000165
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
189 services84 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
119 services47 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
34 services28 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
17 services14 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
11 services11 patients

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 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.

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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
34 suppliers81 claims293 services$6.32 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
19 suppliers36 claims72 services$1.10 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
8 suppliers328 claims328 services$186.22 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
3 suppliers12 claims12 services$185.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Adult Health)
211 S. 9TH STREET, SUITE 210
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 Christine Clancy's NPI number?

The NPI number for Christine Clancy is 1487677084. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Christine Clancy located?

Christine Clancy practices at 211 S. 9th Street Suite 600, Philadelphia, PA 19107. The listed phone number is (215) 955-1925.

What is Christine Clancy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Christine Clancy enrolled in Medicare?

Yes. Christine Clancy 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 Christine Clancy affiliated with any hospitals?

According to CMS data, Christine Clancy is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Christine Clancy was last updated on October 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.