CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYST
NPI 1508380452
Clinic/Center - Urgent Care in Philadelphia, PA
About Clinical Care Associates Of The University Of Pennsylvania Health Syst NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYST (NPI 1508380452) is a healthcare organization registered as an urgent care in Philadelphia, Pennsylvania and active in the NPI registry since August 2017. The organization maintains 3 additional practice locations and lists Chante L Jackson, Enrollment Lead, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 11
Secondary Practice Locations 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clinical Care Associates Of The University Of Pennsylvania Health Syst is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
975Medicare enrollment records show 975 clinicians reassign Medicare billing to Clinical Care Associates Of The University Of Pennsylvania Health Syst, which bills Medicare for the services they deliver. Of these, 493 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 40
Nearest to this location (20)
See all 975Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Clinical Care Associates Of The University Of Pennsylvania Health Syst's NPI number?
The NPI number for Clinical Care Associates Of The University Of Pennsylvania Health Syst is 1508380452. It was assigned to this organization in the NPPES registry on August 2, 2017.
Where is Clinical Care Associates Of The University Of Pennsylvania Health Syst located?
Clinical Care Associates Of The University Of Pennsylvania Health Syst is located at 1930 South Broad St, Unit 28 Penn Urgent Care South Philadelphia, Philadelphia, PA 19145. The listed phone number is (215) 419-7500.
What is Clinical Care Associates Of The University Of Pennsylvania Health Syst's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Clinical Care Associates Of The University Of Pennsylvania Health Syst enrolled in Medicare?
Yes. Clinical Care Associates Of The University Of Pennsylvania Health Syst is registered in the Medicare PECOS enrollment system.
When is Clinical Care Associates Of The University Of Pennsylvania Health Syst's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Clinical Care Associates Of The University Of Pennsylvania Health Syst?
According to the CMS Revalidation Reassignment List (October 2026 release), 975 clinicians in 40 Medicare specialties reassign their Medicare billing to Clinical Care Associates Of The University Of Pennsylvania Health Syst. A 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 the clinician's services. The largest specialties are Nurse Practitioner (204), Internal Medicine (151) and Family Practice (102). Of these, 493 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Clinical Care Associates Of The University Of Pennsylvania Health Syst accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Clinical Care Associates Of The University Of Pennsylvania Health Syst as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Clinical Care Associates Of The University Of Pennsylvania Health Syst was last updated on June 9, 2021. 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.
# Clinical Care Associates Of The University Of Pennsylvania Health Syst · NPI 1508380452
Urgent Care organization in Philadelphia, Pennsylvania. Organization record, active in the CMS NPPES registry since August 2, 2017.
## Identity
- **NPI:** 1508380452 (Entity type: Organization)
- **Enumerated:** August 2, 2017
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Chante Jackson, ENROLLMENT LEAD
## Practice location
- **Address:** 1930 SOUTH BROAD ST, UNIT 28, PENN URGENT CARE SOUTH PHILADELPHIA, Philadelphia, PA 19145-2328
- **Phone:** (215) 419-7500 · **Fax:** (215) 419-7505
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Pennsylvania, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 975 clinicians in 40 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (204), Internal Medicine (151), Family Practice (102); 493 practice within 10 miles; [full list](https://npiprofile.com/npi/1508380452/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 9, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1508380452) · Data from the CMS NPPES public registry.