REDEFINE MEDICINE LLC
NPI 1679429377
Nurse Practitioner - Family in Ridley Park, PA

Active since March 06, 2026
502 MORTON AVE, RIDLEY PARK, PA 19078(610) 809-4936 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Redefine Medicine Llc NPPES

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

REDEFINE MEDICINE LLC (NPI 1679429377) is a healthcare organization registered as a family in Ridley Park, Pennsylvania and active in the NPI registry since March 2026. The organization lists Jennifer Lee Ferguson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1679429377
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameREDEFINE MEDICINE LLC
Location Address502 MORTON AVERidley Park, PA 19078-3306
Mailing Address502 Morton AveRidley Park, PA 19078-3306 · (610) 809-4936
Organization SubpartNo
Authorized OfficialJennifer Lee FergusonCeo · (610) 809-4936
Enumeration DateMarch 6, 2026
NPPES CertifiedMarch 6, 2026
✔ NPI 1679429377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
502 MORTON AVE, Ridley Park, PA 19078

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Redefine Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Redefine Medicine LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1780397083
502 MORTON AVE
Ridley Park, PA 19078
(610) 809-4936
✔ PECOS✔ Accepts MedicareSame address

Source: 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 Redefine Medicine LLC's NPI number?

The NPI number for Redefine Medicine LLC is 1679429377. It was assigned to this organization in the NPPES registry on March 6, 2026.

Where is Redefine Medicine LLC located?

Redefine Medicine LLC is located at 502 Morton Ave, Ridley Park, PA 19078. The listed phone number is (610) 809-4936.

What is Redefine Medicine LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Redefine Medicine LLC enrolled in Medicare?

Yes. Redefine Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Redefine Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Redefine Medicine LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Redefine Medicine LLC was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.