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JESSICA CANOSA
NPI 1861881088
Nurse Practitioner - Adult Health in Philadelphia, PA

Active since January 12, 2015PECOS Enrolled
3701 MARKET ST, 6TH FLOOR, SUITE 640, PHILADELPHIA, PA 19104(215) 662-2250 Get Directions Write a Review

NPPES record last updated: January 12, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jessica Canosa NPPES

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

JESSICA CANOSA (NPI 1861881088) is an individual adult health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP013775) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861881088
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJESSICA CANOSA
Location Address3701 MARKET ST, 6TH FLOOR, SUITE 640Philadelphia, PA 19104-5502
Mailing Address3701 Market St, 6th Floor, Suite 640Philadelphia, PA 19104-5502
Phone(215) 662-2250
Sole ProprietorNo
Enumeration DateJanuary 12, 2015
✔ NPI 1861881088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in PA · SP013775
3701 MARKET ST, Philadelphia, PA 19104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Canosa 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jessica Canosa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Penn-Medical Group
0.2 mi
Internal Medicine
51 N 39TH ST
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 752 clinicians in this Medicare group
NPI 1386751089 (215) 662-8000
Robert J Maro MD PA
11 mi
Internal Medicine
27 COVERED BRIDGE RD
Cherry Hill, NJ 08034
  • Reassigned Medicare billing, New Jersey enrollment
  • 40 clinicians in this Medicare group
NPI 1952342743 (856) 429-2224

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician 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.

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.

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.

HETA PATEL MD
Student in an Organized Health Care Education/Training Program
3701 MARKET ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2250
HOSPITAL OF THE UNIVERSITY OF PA
Clinic/Center (Ambulatory Fertility Facility)
3701 MARKET ST
PHILA, PA 19104
Philadelphia County (215) 349-5150
REGINA ANN HALLIDAY CRNP
Nurse Practitioner (Women's Health)
3701 MARKET ST, 3RD FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6035
KAREN J LECKS CRNP
Nurse Practitioner (Obstetrics & Gynecology)
3701 MARKET ST, 8TH FL - REPRODUCTIVE RESEARCH
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7727
MICHAEL CIRIGLIANO MD
Internal Medicine
3701 MARKET ST, 7TH FL STE 741
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-5200
SANKEY V WILLIAMS MD
Internal Medicine
3701 MARKET ST, STE 640 6TH FL
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3795
MICHAEL D GEORGE MD
Internal Medicine (Rheumatology)
3701 MARKET ST, 6TH FLOOR, SUITE 640
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2250
DR. DAVOREN ANN CHICK M.D.
Internal Medicine
3701 MARKET ST, STE 640
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2250

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 Jessica Canosa's NPI number?

The NPI number for Jessica Canosa is 1861881088. It was assigned to this individual provider in the NPPES registry on January 12, 2015.

Where is Jessica Canosa located?

Jessica Canosa practices at 3701 Market St 6th Floor, Suite 640, Philadelphia, PA 19104. The listed phone number is (215) 662-2250.

What is Jessica Canosa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jessica Canosa enrolled in Medicare?

Yes. Jessica Canosa is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jessica Canosa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Canosa reassigns Medicare benefits to 2 organizations: University Of Penn-Medical Group (Philadelphia, PA) and Robert J Maro MD PA (Cherry Hill, NJ). Each 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 Jessica Canosa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Canosa was last updated on January 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.