Jade Lynn Holley, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA054639 Issued in PA

Practice address

532 Main St
Suite 1
Moosic, PA 18507-1001

Phone

(570) 471-3569

NPI assigned

Nov 24, 2010

Last updated

Jan 3, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Regional Hospital of Scranton Hospital, Scranton, PA, CCN 390237
• Allied Services Institute of Rehabilitation Inpatient rehabilitation facility, Scranton, PA, CCN 393030

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jholley@primemed.medentdirect.com

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.

• Geisinger Clinic

  • Family Medicine Physician
  • Danville, PA
  • NPI 1366493868
  Medicare reassignment Care Compare group
• Geisinger Clinic

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1558313023
  NPD
• Geisinger Clinic

  dba PrimeMed Medical Grp Clark Summit in collaboration w/Geisinger Clinic

  • Family Medicine Physician
  • Clarks Summit, PA
  • NPI 1952719619
  NPD
• Geisinger Bloomsburg Hospital

  • General Acute Care Hospital
  • Bloomsburg, PA
  • NPI 1821198755
  NPD (past)

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

• Allied Services Institute of Rehabilitation Medicine

  dba Allied Services Rehabilitation Hospital

  • Rehabilitation Hospital
  • Scranton, PA
  • NPI 1316944184

  Inpatient rehabilitation facility

  Care Compare affiliation
• Scranton Hospital Company LLC

  dba Regional Hospital Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Scranton, PA
  • NPI 1740566595

  Hospital

  Care Compare affiliation
• Scranton Hospital Company LLC

  dba Regional Hospital of Scranton

  • General Acute Care Hospital
  • Scranton, PA
  • NPI 1881983039
  Care Compare affiliation

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1134421183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 MAIN ST",
            "address_2": "SUITE 1",
            "city": "MOOSIC",
            "state": "PA",
            "postal_code": "185071001",
            "telephone_number": "570-471-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 MAIN ST",
            "address_2": "SUITE 1",
            "city": "MOOSIC",
            "state": "PA",
            "postal_code": "185071001",
            "telephone_number": "570-471-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEY",
        "first_name": "JADE",
        "middle_name": "LYNN",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-24",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA054639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Elizabeth Healey, FNP-C, MSN-EDU, BSN
• Healing Hearts Counseling LLC
• Heartland Home Healthcare Services Inc
• Jacob Herber, LPC
• James Steven Hoban I, RPH
• Laurann Teresa Hoover, MA, LPC, NCC, LPC
• Hospice of the Sacred Heart
• Hospital Drive Homecare, Inc
• Alexis Marie Huff, PA-C
• Ahna Nicole Hyrowich, LCSW

• Medical Physician Assistant in Moosic, PA
• Providers in Moosic, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.