Individual provider Active NPI

Jessica Rossman

  • Optometrist
  • Butler, PA
National Provider Identifier
1164977096
Registry record updated Aug 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003189 Issued in PA
Practice address
120 Hollywood Dr Ste 102
Butler, PA 16001
Phone
(724) 283-3500
NPI assigned
Aug 21, 2016
Last updated
Aug 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003189 PA Primary

Addresses

Primary practice location

120 Hollywood Dr Ste 102
Butler, PA 16001

Mailing address

120 Hollywood Dr Ste 102
Butler, PA 16001-7604
Phone (724) 283-3500

Other practice location 1

16 Pine Grove Village Dr
Grove City, PA 16127
Phone (724) 458-7440

Other names 1

  • Jessica Dente Former name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161017000065 PA Practitioner - Optometry 4486942927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wigton Eye Care Associates IncGroup PAC ID 1456264514, 6 clinicians

Practice addresses (Care Compare)

120 Hollywood Dr
Suite 102
Butler, PA 16001-7604
Phone (724) 283-3500

Merit-based Incentive Payment System (MIPS)

Final score
94.11 of 100Reported as group
Quality
88.21
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003189PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wigton Eye Care Associates, Inc Optometrist CurrentSince Aug 13, 2018 Accepting new patients
Wigton Eye Care Associates,Inc Optometrist CurrentSince Aug 13, 2018 Accepting new patients

Locations

120 Hollywood Dr
Butler, PA 16001
Phone (724) 287-2837

120 Hollywood Dr
Ste 102
Butler, PA 16001
Phone (724) 283-3500

16 Pine Grove Village Dr
Grove City, PA 16127
Phone (724) 458-7440

Interoperability endpoints

  • Direct secure messaging: jessica.rossman@direct.revolutionehr.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1471737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567209600000",
    "number": "1164977096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HOLLYWOOD DR STE 102",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160017604",
            "telephone_number": "724-283-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HOLLYWOOD DR STE 102",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "16001",
            "telephone_number": "724-283-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Pine Grove Village Dr",
            "address_purpose": "LOCATION",
            "city": "Grove City",
            "state": "PA",
            "postal_code": "16127",
            "country_code": "US",
            "telephone_number": "724-458-7440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSSMAN",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-21",
        "last_updated": "2019-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "DENTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.