NPIMap

Individual provider Active NPI

Jill R Piccolo, PA-C

  • Physician Assistant
  • Greensburg, PA
National Provider Identifier
1093094070
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA054923 Issued in PA
Practice address
540 South St Ste 301
Greensburg, PA 15601-2774
Phone
(724) 261-5610
Fax
(878) 295-8532
NPI assigned
Aug 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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 MA054923 PA Primary

Addresses

Primary practice location

540 South St Ste 301
Greensburg, PA 15601-2774

Mailing address

540 South St Ste 301
Greensburg, PA 15601-2774
Phone (724) 261-5610

Other names 1

  • Jill R Kirchner Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jillpiccolo@emg.allscriptsdirect.net Direct

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
I20110829000048 PA Practitioner - Physician Assistant 2264602341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

532 W Pittsburgh St
Greensburg, PA 15601-2239

540 S St
Suite 301
Greensburg, PA 15601-2774
Phone (724) 261-5610

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA054923PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc. CurrentSince May 1, 2023 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Excela Health Physician Practices, Inc Past Accepting new patients
Neurological Institute of Western Pennsylvania PC Past Accepting new patients

Locations

540 South St
Ste 301
Greensburg, PA 15601
Phone (724) 261-5610

Interoperability endpoints

  • Direct secure messaging: jillpiccolo@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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1093094070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 SOUTH ST STE 301",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012774",
            "telephone_number": "724-261-5610",
            "fax_number": "878-295-8532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 SOUTH ST STE 301",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012774",
            "telephone_number": "724-261-5610",
            "fax_number": "878-295-8532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCOLO",
        "first_name": "JILL",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA054923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jillpiccolo@emg.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "EH Neurology Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "540 South St Ste 301",
            "city": "Greensburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "156012774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "KIRCHNER",
            "middle_name": "R",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.