NPIMap

Individual provider Active NPI

Jessica Lynne Beck, FNP-C

  • Family Nurse Practitioner
  • Pottsville, PA
National Provider Identifier
1184318693
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP027391 Issued in PA
Practice address
1578 Bunting St
Pottsville, PA 17901-8587
Phone
(570) 622-0200
Fax
(570) 622-8009
NPI assigned
Jun 7, 2023
Last updated
Feb 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP027391 PA Primary

Addresses

Primary practice location

1578 Bunting St
Pottsville, PA 17901-8587

Mailing address

1090 N Church St Ste a
Hazle Township, PA 18202-1480
Phone (570) 459-1485

Other practice location 1

1090 N Church St Ste A
Hazle Township, PA 18202-1480
Phone (570) 459-1485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240112002381 PA Practitioner - Nurse Practitioner 4486005535 Reassigns benefits to 1 organization

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
Integrated Medical Group P CGroup PAC ID 1355247180, 105 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

1578 Bunting St
Pottsville, PA 17901-8587
Phone (570) 622-0200

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Group P C CurrentSince Jan 22, 2024 Accepting new patients
Integrated Medical Group, P.C. CurrentSince Jan 22, 2024 Accepting new patients
Integrated Medical Group Past Accepting new patients

Locations

1578 Bunting St
Pottsville, PA 17901
Phone (570) 544-4700

420 S Jackson St
Pottsville, PA 17901
Phone (570) 621-5000

48 Tunnel Rd
Ste 104
Pottsville, PA 17901
Phone (570) 622-5555

82 Tunnel Rd
Pottsville, PA 17901
Phone (570) 622-5455

Interoperability endpoints

  • Direct secure messaging: jbeck@imgpc.medentdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1184318693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 N CHURCH ST STE A",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182021480",
            "telephone_number": "570-459-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1578 BUNTING ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179018587",
            "telephone_number": "570-622-0200",
            "fax_number": "570-622-8009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1090 N Church St Ste A",
            "address_purpose": "LOCATION",
            "city": "Hazle Township",
            "state": "PA",
            "postal_code": "182021480",
            "country_code": "US",
            "telephone_number": "570-459-1485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECK",
        "first_name": "JESSICA",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP027391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

Verify at the official NPI Registry.