Jessica Renae Hall, PA-C

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MA064382 Issued in PA

Practice address

3055 Washington Rd Ste 203
MC Murray, PA 15317-3279

Phone

(724) 260-5424

Fax

(724) 260-5425

NPI assigned

Oct 8, 2020

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Commonwealth Dermatology PCGroup PAC ID 2163711920, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: jhall@commonwealthderm.emadirect.md

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.

• Commonwealth Dermatology, P.C.

  • Dermatology Physician
  • MC Murray, PA
  • NPI 1609239847
  Medicare reassignment Care Compare group

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

• Jefferson Regional Medical Center

  • Clinic/Center
  • Clairton, PA
  • NPI 1366488108

  Hospital

  Care Compare affiliation
• Jefferson Regional Medical Center

  • General Acute Care Hospital
  • Clairton, PA
  • NPI 1578560504
  Care Compare affiliation

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1205433505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99-128 AIEA HEIGHTS DR STE 703",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013978",
            "telephone_number": "808-487-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 WASHINGTON RD STE 203",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153173279",
            "telephone_number": "724-260-5424",
            "fax_number": "724-260-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JESSICA",
        "middle_name": "RENAE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MA064382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretz Chiropractic Centers
• Jeffrey R Gretz, DO
• Brenda Gross
• Jaclyn Guarino, CRNP
• Marnie L Hall-Martin, LPC
• Kristen Hammett, PA-C
• Robert J Hanak, O.D.
• Hand & Upper Extremity Rehab Specialists Inc
• Justin R Hanlon, D.M.D.
• Michael E Hanlon, D.C.

• Dermatology Physician in MC Murray, PA
• Providers in MC Murray, PA by specialty
• Dermatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.