JENNIFER SUSAN ROMAN CRNP
NPI 1871230987
Nurse Practitioner - Psychiatric/Mental Health in Philadelphia, PA
About Jennifer Susan Roman Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER SUSAN ROMAN CRNP (NPI 1871230987) is an individual psychiatric/mental health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP025738) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jennifer Susan Roman 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jennifer Roman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ligonier, PA 15658
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,881 clinicians in this Medicare group
Pittsburgh, PA 15236
- Reassigned Medicare billing, Pennsylvania enrollment
- 93 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19107
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 Jennifer Roman's NPI number?
The NPI number for Jennifer Roman is 1871230987. It was assigned to this individual provider in the NPPES registry on May 19, 2022.
Where is Jennifer Roman located?
Jennifer Roman practices at 1101 Market St, Philadelphia, PA 19107. The listed phone number is (215) 503-4722.
What is Jennifer Roman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jennifer Roman enrolled in Medicare?
Yes. Jennifer Roman 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.
Which organizations bill Medicare for Jennifer Roman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Roman reassigns Medicare benefits to 2 organizations: Allegheny Clinic (Ligonier, PA) and Jefferson Regional Medical Center (Pittsburgh, PA). 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 Jennifer Roman'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 Jennifer Roman was last updated on June 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jennifer Susan Roman, CRNP · NPI 1871230987
Psychiatric/Mental Health physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 19, 2022.
## Identity
- **NPI:** 1871230987 (Entity type: Individual)
- **Enumerated:** May 19, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** SP025738 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1101 MARKET ST, Philadelphia, PA 19107-2934
- **Phone:** (215) 503-4722
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Allegheny Clinic (NPI 1063946291, Ligonier, PA); Jefferson Regional Medical Center (NPI 1891763249, Pittsburgh, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 8, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1871230987) · Data from the CMS NPPES public registry.