Individual provider Active NPI

Jacob Andrew Morrison

  • Pediatric Nurse Practitioner
  • Hershey, PA
National Provider Identifier
1003353673
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
SP017133 Issued in PA
Practice address
441 E Chocolate Ave
Hershey, PA 17033-1324
Phone
(717) 533-7850
Fax
(717) 533-8294
NPI assigned
Jan 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X SP017133 PA Primary

Addresses

Primary practice location

441 E Chocolate Ave
Hershey, PA 17033-1324

Mailing address

441 E Chocolate Ave
Hershey, PA 17033-1324
Phone (717) 533-7850

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmorrison200886@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210826003238 PA Practitioner - Nurse Practitioner 0042615171 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP017133PAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Sep 1, 2021 Accepting new patients
Pinnacle Health Medical Services CurrentSince Sep 1, 2021 Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

441 E Chocolate Ave
Hershey, PA 17033
Phone (717) 533-1916

8105 Adams Dr
Ste C
Hummelstown, PA 17036
Phone (717) 782-5506

3 Walnut St
Ste 205
Lemoyne, PA 17043
Phone (717) 909-0520

Interoperability endpoints

  • Direct secure messaging: jmorrison297440@upmc.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1003353673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 E CHOCOLATE AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331324",
            "telephone_number": "717-533-7850",
            "fax_number": "717-533-8294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 E CHOCOLATE AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331324",
            "telephone_number": "717-533-7850",
            "fax_number": "717-533-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "JACOB",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-20",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP017133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmorrison200886@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "441 E Chocolate Ave",
            "city": "Hershey",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170331324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

Verify at the official NPI Registry.