NPIMap

Individual provider Active NPI

Jared J Ricotta, PA-C

  • Physician Assistant
  • Philipsburg, PA
National Provider Identifier
1255695367
Registry record updated Jul 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA002899 Issued in PA
Practice address
271 Railroad St
Philipsburg, PA 16866-2300
Phone
(814) 342-1872
Fax
(814) 342-1874
NPI assigned
Jul 3, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X MA055516 PA
Physician Assistant 363A00000X OA002899 PA Primary

Addresses

Primary practice location

271 Railroad St
Philipsburg, PA 16866-2300

Mailing address

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-4200

Other identifiers 1

IdentifierTypeStateIssuer
103109920MedicaidPA

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
I20120806000232 PA Practitioner - Physician Assistant 7517113608 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brookville HospitalGroup PAC ID 3072579598, shared by 11 NPIs, 45 clinicians

Practice addresses (Care Compare)

271 Railroad St
Philipsburg, PA 16866-2300
Phone (814) 342-9701

Hospital & facility affiliations

  • Penn Highlands Dubois Hospital, Dubois, PA, CCN 390086

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA055516PAMDPhysician Assistant
OA002899PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dubois Regional Medical Center Physician Assistant CurrentSince Apr 1, 2014 Accepting new patients
Brookville Hospital CurrentSince Dec 1, 2025 Accepting new patients
Brookville Hospital Physician Assistant CurrentSince Nov 18, 2015 Accepting new patients
Dubois Regional Medical Center CurrentSince Apr 1, 2014 Accepting new patients
Brookville Hospital Physician Assistant CurrentSince Nov 18, 2015 Accepting new patients
Dubois Regional Medical Center Physician Assistant Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

100 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1408

820 Turnpike Ave
Clearfield, PA 16830
Phone (814) 765-2006

145 Hospital Ave
Ste 101
Dubois, PA 15801
Phone (814) 375-5305

145 Hospital Ave
Ste 102
Dubois, PA 15801
Phone (814) 375-6510

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

271 Railroad St
Philipsburg, PA 16866
Phone (814) 342-1872

Organizations & group practices 7

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.

Hospital & facility affiliations 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625443200000",
    "number": "1255695367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-375-4200",
            "fax_number": "814-375-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 RAILROAD ST",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168662300",
            "telephone_number": "814-342-1872",
            "fax_number": "814-342-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICOTTA",
        "first_name": "JARED",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-03",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055516",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA002899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103109920",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philipsburg, PA

Sources for this page

Verify at the official NPI Registry.