Individual provider Active NPI

Jo Ann Stearns, PA

  • Physician Assistant
  • Greenfield, MA
National Provider Identifier
1093759078
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA5392 Issued in MA
Practice address
329 Conway St
Greenfield Health Center
Greenfield, MA 01301-1521
Phone
(413) 774-6301
Fax
(413) 772-3314
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001410 GA
Medical Physician Assistant 363AM0700X PA5392 MA
Physician Assistant 363A00000X PA5392 MA Primary

Addresses

Primary practice location

329 Conway St
Greenfield Health Center
Greenfield, MA 01301-1521

Mailing address

329 Conway St
Greenfield Health Center
Greenfield, MA 01301-1521
Phone (413) 774-6301

Other practice location 1

164 High Street
Greenfield, MA 01301-2613
Phone (413) 773-2263

Other identifiers 2

IdentifierTypeStateIssuer
100001062BMedicaidGA
100001062CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1410GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Group, P.C. Physician Assistant CurrentSince Sep 1, 2015 Accepting new patients
Valley Medical Group, P.C. CurrentSince Sep 1, 2015 Accepting new patients
Excella Home Health Agency, LLC Past Accepting new patients

Locations

329 Conway St
Greenfield, MA 01301
Phone (413) 774-6301

70 Main St
Northampton, MA 01062
Phone (413) 586-8400

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1093759078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 CONWAY ST",
            "address_2": "GREENFIELD HEALTH CENTER",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013011521",
            "telephone_number": "413-774-6301",
            "fax_number": "413-772-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 CONWAY ST",
            "address_2": "GREENFIELD HEALTH CENTER",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013011521",
            "telephone_number": "413-774-6301",
            "fax_number": "413-772-3314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "164 High Street",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "MA",
            "postal_code": "013012613",
            "country_code": "US",
            "telephone_number": "413-773-2263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEARNS",
        "first_name": "JO",
        "middle_name": "ANN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "001410",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA5392",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA5392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001062B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001062C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.