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JUDITH HEREDIA CRNP
NPI 1942581707
Nurse Practitioner - Family in Philadelphia, PA

Active since September 07, 2011PECOS EnrolledAccepts Medicare Assignment
833 CHESTNUT STREET, SUITE 301, PHILADELPHIA, PA 19107(215) 955-4538(215) 923-9186 Get Directions Write a Review

NPPES record last updated: January 20, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Judith Heredia Crnp NPPES

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

JUDITH HEREDIA CRNP (NPI 1942581707) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP011335) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1942581707
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJUDITH HEREDIACredential: CRNP
Location Address833 CHESTNUT STREET, SUITE 301Philadelphia, PA 19107
Mailing Address833 Chestnut Street, Suite 301Philadelphia, PA 19107 · (215) 955-4538 · Fax (215) 923-9186
Phone(215) 955-4538
Fax(215) 923-9186
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 7, 2011
Last NPPES UpdateJanuary 20, 2012
✔ NPI 1942581707 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
License✔ Licensed in PA · SP011335
833 CHESTNUT STREET, Philadelphia, PA 19107
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Judith Heredia 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.

PECOS PAC ID6709046345
PECOS Enrollment IDI20120320000172
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.

Areas of Expertise CMS Part B claims 9

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
127 services98 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
67 services53 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
57 services57 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
45 services38 patients
Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483
This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.
28 services28 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

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.

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.

REBECCA PROSSER
Nurse Practitioner (Women's Health)
833 CHESTNUT STREET, 1ST FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5000
DR. ONYEKA W. OKONKWO MD
Internal Medicine
833 CHESTNUT STREET, SUITE 701
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-9180
DR. RICHARD C. WENDER MD
Family Medicine
833 CHESTNUT STREET, SUITE 301
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-7190
DR. KAREN D. NOVIELLI M.D.
Family Medicine
833 CHESTNUT STREET, SUITE 301
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-7190
DR. MEREDITH L. BIRSNER M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
833 CHESTNUT STREET, 1ST FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5000
DR. LILY L. SOMWARU ACKERMANN M.D.
Internal Medicine
833 CHESTNUT STREET, SUITE 701
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6180
DR. MICHELE SAINT FRAN LO
Obstetrics & Gynecology
833 CHESTNUT STREET, 1ST FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5000
JANIS BONAT CRNP
Nurse Practitioner (Family)
833 CHESTNUT STREET, SUITE 301
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-7190

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 Judith Heredia's NPI number?

The NPI number for Judith Heredia is 1942581707. It was assigned to this individual provider in the NPPES registry on September 7, 2011.

Where is Judith Heredia located?

Judith Heredia practices at 833 Chestnut Street Suite 301, Philadelphia, PA 19107. The listed phone number is (215) 955-4538.

What is Judith Heredia's specialty?

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

Is Judith Heredia enrolled in Medicare?

Yes. Judith Heredia 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.

What insurance does Judith Heredia accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Judith Heredia 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.

Is Judith Heredia affiliated with any hospitals?

According to CMS data, Judith Heredia is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Judith Heredia was last updated on January 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.