Individual provider Active NPI

Jason Klem, P.A.

  • Medical Physician Assistant
  • Blakeslee, PA
National Provider Identifier
1255357299
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA050920 Issued in PA
Practice address
Routes 940 & 115
Blakeslee, PA 18610
Phone
(570) 646-8745
Fax
(570) 646-8962
NPI assigned
Jul 14, 2006
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA000878 PA
Medical Physician Assistant 363AM0700X MA050920 PA Primary

Addresses

Primary practice location

Routes 940 & 115
Blakeslee, PA 18610

Mailing address

610 Wyoming Ave
Kingston, PA 18704-3702
Phone (570) 288-5441

Other practice location 1

276 W Side Mall
Edwardsville, PA 18704-3117
Phone (570) 283-0791

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040921000768 PA Practitioner - Physician Assistant 4082682620 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ucmg LLCGroup PAC ID 6709398969, 254 clinicians

Practice addresses (Care Compare)

276 W Side Mall
Upmc Gohealth Urgent Care
Edwardsville, PA 18704-3117
Phone (570) 283-0791

4655 William Flynn Hwy
Suite 110 Upmc Gohealth Urgent Care
Allison Park, PA 15101-2248
Phone (412) 486-3027

677 Kidder St
Wilkes Barre Township, PA 18702-6914
Phone (570) 825-2046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA050920PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Hospital - Anderson Campus CurrentSince Jun 28, 2021 Accepting new patients
GSL Hospital CurrentSince Jul 19, 2023 Accepting new patients
Geisinger Clinic CurrentSince Jan 5, 2015 Accepting new patients
St. Luke's Quakertown Hospital CurrentSince Jun 28, 2021 Accepting new patients
St Luke's Hospital CurrentSince Jun 28, 2021 Accepting new patients
St. Luke's Hosptial CurrentSince Jun 28, 2021 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Jul 1, 2024 Accepting new patients
Geisinger Clinic CurrentSince Jan 5, 2015 Accepting new patients
St. Luke's Hospital CurrentSince Jun 28, 2021 Accepting new patients
St. Luke's Quakertown Hospital CurrentSince Jun 28, 2021 Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. CurrentSince Mar 20, 2017 Accepting new patients
Carbon Schuylkill Community Hospital, Inc. CurrentSince Mar 20, 2017 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Jul 1, 2024 Accepting new patients
St. Luke's Hospital Monroe Campus CurrentSince Jun 28, 2021 Accepting new patients
Ucmg LLC CurrentSince Dec 14, 2025 Accepting new patients
Donna Eget PC Past Accepting new patients

Locations

4655 William Flynn Hwy
Ste 110
Allison Park, PA 15101
Phone (412) 486-3027

111 Route 715
Brodheadsvlle, PA 18322
Phone (272) 212-0420

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

100 N Academy Ave
Danville, PA 17822

276 W Side Mall
Edwardsville, PA 18704
Phone (570) 283-0791

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1104 North St
Jim Thorpe, PA 18229
Phone (570) 325-2400

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

2650 Woodglen Rd
Pottsville, PA 17901
Phone (272) 639-5755

487 E Moorestown Rd
Wind Gap, PA 18091
Phone (484) 526-7850

Interoperability endpoints

  • Direct secure messaging: jason.klem@slpg.direct-sluhn.org
  • Direct secure messaging: jklem21399@gohealthupmc.direct-ci.com

Organizations & group practices 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1255357299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043702",
            "telephone_number": "570-288-5441",
            "fax_number": "570-288-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTES 940 & 115",
            "city": "BLAKESLEE",
            "state": "PA",
            "postal_code": "18610",
            "telephone_number": "570-646-8745",
            "fax_number": "570-646-8962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "276 W Side Mall",
            "address_purpose": "LOCATION",
            "city": "Edwardsville",
            "state": "PA",
            "postal_code": "187043117",
            "country_code": "US",
            "telephone_number": "570-283-0791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEM",
        "first_name": "JASON",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA000878",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA050920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blakeslee, PA

Sources for this page

Verify at the official NPI Registry.