SIRLY JEEVAN (CRNP) – Family Nurse Practitioner, NPI 1962636779

SIRLY JEEVAN (CRNP) is a healthcare provider. based in Yardley, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. SP010136 (PA). The NPI Number for SIRLY JEEVAN (CRNP) is 1962636779

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
SIRLY JEEVAN (CRNP)
NPI
1962636779
Phone
(267) 392-5127
Address
1479 MERRICK ROAD
Enumeration Date
7 May 2009
Last Update Date
22 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8563423150
Graduation Year
2008 (18 years ago)
PAC ID
0446305759
Group Practice PAC ID
2860396611
Professional Enrollment ID
I20201209000861
Address ID
NJ081031461CA1XXXXPLZX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:17State licenses:2Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for SIRLY JEEVAN (CRNP)

  • 1479 MERRICK ROAD

    YARDLEY, PA 19067

    Phone: (267) 392-5127

    Type: Mailing

  • 1 FEDERAL ST # 200

    CAMDEN, NJ 081031088

    Phone: (856) 356-4924

    Type: Mailing

  • 1 COOPER PLZ

    CAMDEN, NJ 081031461

    Phone: (856) 342-2000

    Type: Location

  • 1479 Merrick Road

    Yardley, PA 19067

    Phone: (267) 392-5127

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $311.

Total Amount is formed as General ($311) + Research ($0) + Ownership ($0) = $311.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($275).

Total Amount

$311

General + Research + Ownership

Payments

6

Total payment records

General Amount

$311

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20090909000468INurse PractitionerPATBD
I20201209000861INurse PractitionerNJTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9176$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 19067)

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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: 2860396611View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineNJ
H O S P I T A L I S TNJ
H O S P I T A L I S TNJ
Internal MedicineNJ
Hospitalist, Internal MedicineNJ
Internal MedicinePA
H O S P I T A L I S TNJ
Nurse PractitionerNJ
Internal MedicineNJ
H O S P I T A L I S TMD

Reviews

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Frequently asked questions

What is the registry number for SIRLY JEEVAN (CRNP)?
The registry entry for SIRLY JEEVAN (CRNP) shows NPI 1962636779.
Should I treat SIRLY JEEVAN (CRNP) as an active provider?
Patients and plans typically see SIRLY JEEVAN (CRNP) as active in the national extract.
What services align with SIRLY JEEVAN (CRNP)'s listing?
SIRLY JEEVAN (CRNP)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to SIRLY JEEVAN (CRNP)?
SIRLY JEEVAN (CRNP) shows a connection to Yardley, Pennsylvania in registry-derived data.
Who maintains SIRLY JEEVAN (CRNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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