JENNA NICOLE EDELMAN – Physician Assistant, NPI 1164933735

JENNA NICOLE EDELMAN is a healthcare provider. based in Bethlehem, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold a License No. MA060767 (PA). The NPI Number for JENNA NICOLE EDELMAN is 1164933735

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JENNA NICOLE EDELMAN
NPI
1164933735
Phone
(484) 526-4500
Address
801 OSTRUM ST
Enumeration Date
23 October 2017
Last Update Date
16 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4848842271
Graduation Year
2019 (7 years ago)
PAC ID
9335470418
Group Practice PAC ID
1557265212
Professional Enrollment ID
I20191004000982
Address ID
PA180177300BE2545XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

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Provider Addresses for JENNA NICOLE EDELMAN

  • Saint Luke's University Hospital - Bethlehem Campus, 801, Ostrum Street, Bethlehem, Lehigh County, Pennsylvania, 18015, United States

    BETHLEHEM, PA 180151000

    Phone: (484) 526-4500

    Fax: (484) 526-6674

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-10-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191004000982IPhysician AssistantPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
49083Drainage of fluid from abdominal cavity using imaging guidance13447$0
32555Aspiration of fluid from chest cavity using imaging guidance12694$0
10005Fine needle aspiration biopsy using ultrasound guidance, first growth2323$0
62328Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance2020$0
77002Fluoroscopic guidance for needle placement1616$0
View full utilization report →

Insurance plans in this area (ZIP 18015)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557265212View full group profile
NameSpecialtyState
Diagnostic RadiologyPA
-PA
-PA
-PA
Diagnostic RadiologyNJ
Diagnostic RadiologyPA
Diagnostic RadiologyIA
-PA
Diagnostic RadiologyPA
Interventional RadiologyMD

Reviews

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Frequently asked questions

Can I cross-check JENNA NICOLE EDELMAN using NPI 1164933735?
NPI 1164933735 belongs to JENNA NICOLE EDELMAN; compare other details if you need extra assurance.
Is JENNA NICOLE EDELMAN still an active registrant?
JENNA NICOLE EDELMAN carries an active NPI according to the public dataset.
How would a patient describe JENNA NICOLE EDELMAN's focus?
For JENNA NICOLE EDELMAN, the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Pennsylvania is JENNA NICOLE EDELMAN registered?
Use Bethlehem, Pennsylvania as the headline location for JENNA NICOLE EDELMAN here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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