NPIMap

Individual provider Active NPI

Jill Ellen Hess, PA

  • Physician Assistant
  • Williamsville, NY
National Provider Identifier
1063471407
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
006528-1 Issued in NY
Practice address
295 Essjay Rd
Williamsville, NY 14221-8216
Phone
(716) 630-1050
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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 006528-1 NY Primary

Addresses

Primary practice location

295 Essjay Rd
Williamsville, NY 14221-8216

Mailing address

425 Essjay Rd Ste 170
Williamsville, NY 14221-8235
Phone (716) 630-1219

Other practice location 1

130 Centerway
Corning, NY 14830
Phone (607) 936-9971

Other practice location 2

3900 N Buffalo St
Orchard Park, NY 14127-1842
Phone (716) 630-1050

Other identifiers 3

IdentifierTypeStateIssuer
970030098OtherNYRR MEDICARE PIN
01900889MedicaidNY
CC8362OtherNYRR MEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110418000476 NY Practitioner - Physician Assistant 8022292952 Reassigns benefits to 4 organizations
I20190606000337 PA Practitioner - Physician Assistant 8022292952 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fayette Physician Network IncGroup PAC ID 3375865819, 309 clinicians

Practice addresses (Care Compare)

100 Woodlawn Ave
Uniontown, PA 15401-3105
Phone (724) 430-5600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.31 of 100Reported as group
Quality
87.9
Promoting interoperability
100
Improvement activities
40
Cost
83.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
006528-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. CurrentSince May 1, 2019 Accepting new patients
Alice Hyde Medical Center Physician Assistant CurrentSince Jan 1, 2015 Accepting new patients
Fayette Physician Network Inc CurrentSince Jan 7, 2026 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Jan 15, 2003 Accepting new patients
Western New York Medical Practice PC CurrentSince Sep 16, 2017 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Jan 15, 2003 Accepting new patients
Rochester General Hospital CurrentSince Sep 16, 2017 Accepting new patients
Fayette Physician Network Inc Physician Assistant CurrentSince Jan 7, 2026 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Sep 16, 2017 Accepting new patients
Alice Hyde Medical Center Past Accepting new patients

Locations

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

969 State Route 11
Moira, NY 12957
Phone (518) 529-7847

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

100 Woodlawn Ave
Uniontown, PA 15401
Phone (724) 438-8765

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 9

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1063471407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 ESSJAY RD STE 170",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218235",
            "telephone_number": "716-630-1219",
            "fax_number": "716-817-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 ESSJAY RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218216",
            "telephone_number": "716-630-1050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Centerway",
            "address_purpose": "LOCATION",
            "city": "Corning",
            "state": "NY",
            "postal_code": "14830",
            "country_code": "US",
            "telephone_number": "607-936-9971",
            "fax_number": "607-936-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3900 N Buffalo St",
            "address_purpose": "LOCATION",
            "city": "Orchard Park",
            "state": "NY",
            "postal_code": "141271842",
            "country_code": "US",
            "telephone_number": "716-630-1050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HESS",
        "first_name": "JILL",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "006528-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "970030098",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01900889",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "CC8362",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.