NISREEN JAHSHAN (PA-C) – Medical Physician Assistant, NPI 1619299906

NISREEN JAHSHAN (PA-C) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA054227 (PA). The NPI Number for NISREEN JAHSHAN (PA-C) is 1619299906

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
NISREEN JAHSHAN (PA-C)
NPI
1619299906
Phone
(215) 952-9000
Address
2301 S BROAD ST
Enumeration Date
27 February 2010
Last Update Date
11 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2009 (17 years ago)
PAC ID
3274824263
Group Practice PAC ID
6406755651
Professional Enrollment ID
I20191210002281
Address ID
PA191483542PH2301XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

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Provider Addresses for NISREEN JAHSHAN (PA-C)

  • Methodist Hospital, 2301, South Broad Street, South Philadelphia, Philadelphia, Philadelphia County, Pennsylvania, 19145, United States

    PHILADELPHIA, PA 191483542

    Phone: (215) 952-9000

    Type: Location

  • 72, Cornell Road, College Park, Bala Cynwyd, Lower Merion Township, Montgomery County, Pennsylvania, 19004, United States

    BALA CYNWYD, PA 190042101

    Phone: (215) 284-4842

    Type: Mailing

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: 2019-12-10

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
I20191210002281IPhysician 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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 19148)

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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: 6406755651View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)PA
-PA
Physician AssistantPA
Certified Registered Nurse Anesthetist (Crna)PA
Thoracic Surgery, Vascular SurgeryPA
Cardiovascular Disease (Cardiology)PA
Interventional Cardiology, Cardiovascular Disease (Cardiology)CA
Gastroenterology, Internal MedicinePA
Physical Medicine And RehabilitationPA
-PA

Reviews

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Frequently asked questions

What unique ID ties claims to NISREEN JAHSHAN (PA-C)?
NPI 1619299906 is assigned to NISREEN JAHSHAN (PA-C) under the national enumeration system.
Does this profile mean NISREEN JAHSHAN (PA-C) is currently active?
Yes — NISREEN JAHSHAN (PA-C) appears active in the national provider directory.
What kind of provider is NISREEN JAHSHAN (PA-C)?
The page reflects Medical Physician Assistant for NISREEN JAHSHAN (PA-C). Clinical services aligned with this taxonomy classification.
Does NISREEN JAHSHAN (PA-C) practice in Pennsylvania?
You will see Philadelphia, Pennsylvania on file for NISREEN JAHSHAN (PA-C) alongside any extra practice locations.
What if Philadelphia, Pennsylvania seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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