Individual provider Active NPI

Jamie Roberts Showalter, PA-C

  • Medical Physician Assistant
  • Bedford, PA
National Provider Identifier
1063715936
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA052567 Issued in PA
Practice address
608 E Pitt St
Bedford, PA 15522-9723
Phone
(814) 624-3121
Fax
(814) 266-2880
NPI assigned
Dec 14, 2010
Last updated
Jul 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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 MA052567 PA Primary

Addresses

Primary practice location

608 E Pitt St
Bedford, PA 15522-9723

Mailing address

196 Foor Rd
Hopewell, PA 16650-7553
Phone (814) 248-0323

Other practice location 1

1111 Franklin St
Suite 210
Johnstown, PA 15905-4330
Phone (814) 534-5700

Other names 1

  • Ms. Jamie Roberts Collins Former name

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
I20110509000064 PA Practitioner - Physician Assistant 6507041597 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

214 College Park PLZ
Johnstown, PA 15904-2833
Phone (814) 262-0025

321 Main St
Suite 4F
Johnstown, PA 15901-1632
Phone (814) 262-0025

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC CurrentSince Sep 1, 2014 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Sep 1, 2014 Accepting new patients
Apogee Medical Group of Pennsylvania PC CurrentSince Jan 1, 2015 Accepting new patients
Nulton Diagnostic & Treatment Center, PC. CurrentSince Apr 9, 2019 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1111 Franklin St
Ste 210
Johnstown, PA 15905
Phone (814) 534-5760

214 College Park Plz
Johnstown, PA 15904
Phone (814) 262-0025

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1063715936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 FOOR RD",
            "city": "HOPEWELL",
            "state": "PA",
            "postal_code": "166507553",
            "telephone_number": "814-248-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 E PITT ST",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "155229723",
            "telephone_number": "814-624-3121",
            "fax_number": "814-266-2880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Franklin St",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159054330",
            "country_code": "US",
            "telephone_number": "814-534-5700",
            "fax_number": "814-536-1786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOWALTER",
        "first_name": "JAMIE",
        "middle_name": "ROBERTS",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-14",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA052567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "COLLINS",
            "middle_name": "ROBERTS",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bedford, PA

Sources for this page

Verify at the official NPI Registry.