Debra M Jadick, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP007872 Issued in PA

Practice address

746 Jefferson Ave
Suite 305
Scranton, PA 18510-1624

Phone

(570) 342-1776

Fax

(570) 963-0663

NPI assigned

Feb 10, 2006

Last updated

Aug 2, 2021By 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 2

Addresses

Electronic endpoints 1

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

Merit-based Incentive Payment System (MIPS)

Final score

89.17 of 100Reported as apm

Quality

78.34

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Scranton Cardiovascular Physician Services LLC

  • Cardiovascular Disease Physician
  • Scranton, PA
  • NPI 1366725418
  Medicare reassignment
• Edward G. Zurad, MD PC

  • Geriatric Medicine (Family Medicine) Physician
  • Tunkhannock, PA
  • NPI 1609891894
  NPD (past)
• Great Valley Cardiology Associates

  • Cardiovascular Disease Physician
  • Scranton, PA
  • NPI 1770588980
  NPD (past)
• Summit Surgical, PC

  • Surgery Physician
  • Tunkhannock, PA
  • NPI 1538184726
  NPD (past)

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1215900121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 JEFFERSON AVE",
            "address_2": "SUITE 305",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101624",
            "telephone_number": "570-342-1776",
            "fax_number": "570-963-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 JEFFERSON AVE",
            "address_2": "SUITE 305",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101624",
            "telephone_number": "570-342-1776",
            "fax_number": "570-963-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JADICK",
        "first_name": "DEBRA",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP007872",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP007872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "debra.jadick.1@21771.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "746 Jefferson Ave",
            "address_2": "Suite 305",
            "city": "Scranton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "185101624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Janet Jackson, EAMP
• Monica Jackson
• Resia Jackson
• Casey Jacobs, CRNA
• Kenneth M Jacobs, MD
• Anil Farook Jahoor, D.O.
• Akash Jain, MD
• Ayushi Jain
• James L Burne DDS PC
• Predrag Jancic, M.D.

• Family Nurse Practitioner in Scranton, PA
• Providers in Scranton, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.