NPIMap

Individual provider Active NPI

Jayme L Shaffer

  • Family Nurse Practitioner
  • Fairmount City, PA
National Provider Identifier
1033774047
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP020297 Issued in PA
Practice address
82 Town Run Rd
Fairmount City, PA 16224-1502
Phone
(814) 275-1600
Fax
(814) 275-1610
NPI assigned
May 6, 2019
Last updated
May 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP020297 PA Primary

Addresses

Primary practice location

82 Town Run Rd
Fairmount City, PA 16224-1502

Mailing address

121 Doctors LN
Clarion, PA 16214-8515
Phone (814) 226-3494

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
I20190926002176 PA Practitioner - Nurse Practitioner 2365772894 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Personal Care Medical Associates, LLCGroup PAC ID 1456344084, 64 clinicians
SNF Specialty ServicesGroup PAC ID 3375989668, 56 clinicians

Practice addresses (Care Compare)

2000 Cliffmine Rd
Suite 500
Pittsburgh, PA 15275-1053
Phone (878) 201-3312

2395 Lancaster Pike
FL 1
Reading, PA 19607-2375
Phone (570) 561-2990

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP020297PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers CurrentSince Apr 1, 2021 Accepting new patients
Butler Medical Providers CurrentSince Apr 1, 2021 Accepting new patients
Butler Medical Providers Current Accepting new patients
Personal Care Medical Associates LLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

371 Route 28
Brookville, PA 15825
Phone (814) 226-8800

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

82 Town Run Rd
Fairmount Cty, PA 16224
Phone (814) 275-1600

2000 Cliffmine Rd
Ste 500
Pittsburgh, PA 15275
Phone (724) 766-0025

Interoperability endpoints

  • Direct secure messaging: jayme.shaffer@direct-address.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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1033774047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 DOCTORS LN",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162148515",
            "telephone_number": "814-226-3494",
            "fax_number": "814-226-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 TOWN RUN RD",
            "city": "FAIRMOUNT CITY",
            "state": "PA",
            "postal_code": "162241502",
            "telephone_number": "814-275-1600",
            "fax_number": "814-275-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "JAYME",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-06",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmount City, PA

Sources for this page

Verify at the official NPI Registry.