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

Kierstyn Jeffries, PA-C

Individual provider Physician Assistant · NPI 1609487859

Kierstyn Jeffries, PA-C is a Physician Assistant in Philadelphia, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Ophelia Medical Group Fl PA, a 100-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1412-22 Fairmount Ave
Philadelphia, PA 19130
Phone: (215) 235-9600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1609487859
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 12, 2020
Last updated in NPPESSeptember 17, 2021
Certification dateSeptember 2, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ophelia Medical Group Fl Pa — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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