Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katelyn Clancy, CRNP

Individual provider Adult Health Nurse Practitioner · NPI 1790183945

Katelyn Clancy, CRNP is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2014, 12 years ago. Practices with Jefferson University Physicians, a 1,554-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
12
Licensed in
PA
In the registry since
2014
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

925 Chestnut St Ste 320A
Philadelphia, PA 19107
Phone: (215) 955-8874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 S 11th St, Philadelphia, PA 19107-4824 — (215) 955-7038

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence SP014629 (PA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence SP014629 (PA)

Record details

NPI number1790183945
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedDecember 19, 2014
Last updated in NPPESMay 21, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Jefferson University Physicians — 1554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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