Individual provider Active NPI

Jillian Jude Refice

  • Medical Physician Assistant
  • Jessup, PA
National Provider Identifier
1124857438
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA065420 Issued in PA
Practice address
915 Hilltop Dr
Jessup, PA 18434-1729
Phone
(570) 877-3505
NPI assigned
Jul 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA065420 PA
Medical Physician Assistant 363AM0700X MA065420 PA Primary

Addresses

Primary practice location

915 Hilltop Dr
Jessup, PA 18434-1729

Mailing address

915 Hilltop Dr
Jessup, PA 18434-1729
Phone (570) 877-3505

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
I20241022002427 PA Practitioner - Physician Assistant 0840722393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1141 Clay Ave
Dunmore, PA 18510-1191
Phone (570) 207-7919

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

267 Brooklyn St
Carbondale, PA 18407-2836
Phone (570) 281-6670

300 Lackawanna Ave
Scranton, PA 18503-2001
Phone (570) 342-7864

334 Main St
Dickson City, PA 18519-1668
Phone (570) 307-1767

5649 Wynnewood Dr
Laurys Station, PA 18059-1124

700 E Broad St
LVPG Emergency Medicine
Hazleton, PA 18201-6835
Phone (570) 501-4193

Hospital & facility affiliations

  • Lehigh Valley Hospital - Dickson City Hospital, Dickson City, PA, CCN 390338

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA065420PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Aug 10, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Aug 10, 2024 Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

334 Main St
Scranton, PA 18519
Phone (570) 307-1767

Interoperability endpoints

  • Direct secure messaging: jrefice1134470@direct2.lvhn.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1124857438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 HILLTOP DR",
            "city": "JESSUP",
            "state": "PA",
            "postal_code": "184341729",
            "telephone_number": "570-877-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 HILLTOP DR",
            "city": "JESSUP",
            "state": "PA",
            "postal_code": "184341729",
            "telephone_number": "570-877-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REFICE",
        "first_name": "JILLIAN",
        "middle_name": "JUDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-26",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA065420",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA065420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jessup, PA

Sources for this page

Verify at the official NPI Registry.