NPIMap

Individual provider Active NPI

Jason Willis, PA

  • Physician Assistant
  • Greensburg, PA
National Provider Identifier
1013948215
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
522 W Newton St
Suite 100
Greensburg, PA 15601-2820
Phone
(724) 853-8922
Fax
(724) 853-8925
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

522 W Newton St
Suite 100
Greensburg, PA 15601-2820

Mailing address

522 W Newton St
Suite 100
Greensburg, PA 15601-2820
Phone (724) 853-8922

Other identifiers 5

IdentifierTypeStateIssuer
1438120OtherPAHIGHMARK BLUE SHIELD
242348OtherHEALTH AMERICA
970028289OtherRAILROAD MEDICARE
042268OtherPAHIGHMARK MEDICARE SERVICE
7659464OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120516000246 PA Practitioner - Physician Assistant 9739342429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Mellon Way
Latrobe, PA 15650-1197

100 Excela Health Dr
Latrobe, PA 15650-1197

522 W Newton St
Excela Health Orthopedics
Greensburg, PA 15601-2820
Phone (724) 853-8922

532 W Pittsburgh St
Greensburg, PA 15601-2239

854 Vanderbilt Rd
Connellsville, PA 15425-6241

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc. CurrentSince Apr 1, 2017 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Apr 1, 2017 Accepting new patients
Excela Health Physician Practices, Inc. Past Accepting new patients
Excela Health Physician Practices, Inc Past Accepting new patients

Locations

2618 Memorial Blvd
Ste B
Connellsville, PA 15425
Phone (724) 626-0700

522 W Newton St
Ste 100
Greensburg, PA 15601
Phone (724) 689-1335

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

522 W Newton St
Greensburg, PA 15601
Phone (724) 832-0827

Interoperability endpoints

  • Direct secure messaging: jasonwillis@emg.allscriptsdirect.net

Organizations & group practices 5

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

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1013948215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 W NEWTON ST",
            "address_2": "SUITE 100",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012820",
            "telephone_number": "724-853-8922",
            "fax_number": "724-853-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 W NEWTON ST",
            "address_2": "SUITE 100",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012820",
            "telephone_number": "724-853-8922",
            "fax_number": "724-853-8925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1438120",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "242348",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "970028289",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK MEDICARE SERVICE",
            "identifier": "042268",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7659464",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.