JESSILENE ODANGO AGACNP
NPI 1760281638
Nurse Practitioner in Philadelphia, PA
About Jessilene Odango Agacnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSILENE ODANGO AGACNP (NPI 1760281638) is an individual nurse practitioner in Philadelphia, Pennsylvania, licensed in Virginia (24192893) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
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
Jessilene Odango Agacnp 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hospital Of Univ Of Pennsylvania
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 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 19104
PHILADELPHIA, PA 19104
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 Jessilene Odango's NPI number?
The NPI number for Jessilene Odango is 1760281638. It was assigned to this individual provider in the NPPES registry on March 12, 2025.
Where is Jessilene Odango located?
Jessilene Odango practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (215) 662-4000.
What is Jessilene Odango's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jessilene Odango enrolled in Medicare?
Yes. Jessilene Odango 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 Jessilene Odango affiliated with any hospitals?
According to CMS data, Jessilene Odango is affiliated with Hospital Of Univ Of Pennsylvania.
When was this NPI record last updated?
The NPPES record for Jessilene Odango was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Jessilene Odango, AGACNP · NPI 1760281638
Nurse Practitioner physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 12, 2025.
## Identity
- **NPI:** 1760281638 (Entity type: Individual)
- **Enumerated:** March 12, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 24192893 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 SPRUCE ST, Philadelphia, PA 19104-4238
- **Phone:** (215) 662-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** November 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1760281638) · Data from the CMS NPPES public registry.