Individual provider Active NPI

Jillian Elizabeth Gladd, PA-C

  • Medical Physician Assistant
  • Cranberry Township, PA
National Provider Identifier
1023456449
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
144 Emeryville Dr Ste 230
Cranberry Township, PA 16066-5015
Phone
(412) 206-2966
Fax
(412) 914-3062
NPI assigned
Jun 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

144 Emeryville Dr Ste 230
Cranberry Township, PA 16066-5015

Mailing address

144 Emeryville Dr Ste 230
Cranberry Township, PA 16066-5015
Phone (412) 206-2966

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
I20130801000454 PA Practitioner - Physician Assistant 5395986475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pittsburgh Skin PCGroup PAC ID 8527305994, 6 clinicians

Practice addresses (Care Compare)

144 Emeryville Dr
Suite 230
Cranberry Township, PA 16066-5015
Phone (412) 206-2966

Merit-based Incentive Payment System (MIPS)

Final score
94.07 of 100Reported as group
Quality
100
Improvement activities
40
Cost
80.22

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: jkelly@pittsburghskin.emadirect.md

Organizations & group practices 1

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": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1023456449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 EMERYVILLE DR STE 230",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160665015",
            "telephone_number": "412-206-2966",
            "fax_number": "412-914-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 EMERYVILLE DR STE 230",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160665015",
            "telephone_number": "412-206-2966",
            "fax_number": "412-914-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADD",
        "first_name": "JILLIAN",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-07",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry Township, PA

Sources for this page

Verify at the official NPI Registry.