Individual provider Active NPI

Jill Ann Ferretti, CRNP

  • Family Nurse Practitioner
  • Nanticoke, PA
National Provider Identifier
1093490161
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP027275 Issued in PA
Practice address
4 E Main St
Nanticoke, PA 18634-1602
Phone
(570) 258-3939
Fax
(570) 735-2921
NPI assigned
Jun 16, 2023
Last updated
Feb 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP0727275 PA
Family Nurse Practitioner 363LF0000X SP027275 PA Primary

Addresses

Primary practice location

4 E Main St
Nanticoke, PA 18634-1602

Mailing address

125 Manor Dr
Shavertown, PA 18708-9679
Phone (570) 540-6896

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jill.ferretti.1@21771.direct.athenahealth.com

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
I20230818001089 PA Practitioner - Nurse Practitioner 7416319728 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Physician Network LLCGroup PAC ID 2668696592, 63 clinicians

Practice addresses (Care Compare)

4 E Main St
Nanticoke, PA 18634-1602
Phone (570) 735-7474

545 N River St
Wilkes Barre, PA 18702-2643
Phone (570) 706-2620

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as apm
Quality
78.34
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP027275PAMDFamily Nurse Practitioner
SP0727275PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Physician Network LLC CurrentSince Feb 1, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 17, 2023 Accepting new patients
My Medical PC PastSince Jun 1, 2023 Accepting new patients
Peyman Younesi MD PLLC PastSince Jun 1, 2023 Accepting new patients

Locations

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

4 E Main St
Nanticoke, PA 18634
Phone (570) 258-3939

545 N River St
Ste 240
Wilkes Barre, PA 18702
Phone (570) 706-2620

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: jill.ferretti.1@21771.direct.athenahealth.com

Organizations & group practices 4

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 2

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": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1093490161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MANOR DR",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "187089679",
            "telephone_number": "570-540-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 E MAIN ST",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186341602",
            "telephone_number": "570-258-3939",
            "fax_number": "570-735-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRETTI",
        "first_name": "JILL",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-16",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP0727275",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP027275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jill.ferretti.1@21771.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "4 E Main St",
            "city": "Nanticoke",
            "state": "PA",
            "country_code": "US",
            "postal_code": "186341602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nanticoke, PA

Sources for this page

Verify at the official NPI Registry.