Jennifer Rose Votruba, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA6158 Issued in MA

Practice address

631B North St
Pittsfield, MA 01201-4102

Phone

(413) 445-9171

NPI assigned

Jun 26, 2017

Last updated

Jun 26, 2017By 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 1

Addresses

Other names 1

• Miss Jennifer Maire Rose Former name

Medicare fee-for-service enrollment

Enrolled in MA

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Berkshire Faculty Services IncGroup PAC ID 8224068424, 276 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Pittsfield, MA, CCN 227219
• Amedisys Home Health Care Home health agency, Agawam, MA, CCN 227288
• Berkshire Visiting Nurse Association Home health agency, Pittsfield, MA, CCN 227122
• Berkshire Medical Center Hospital, Pittsfield, MA, CCN 220046
• North Adams Regional Hospital Corporation Hospital, North Adams, MA, CCN 221304
• Fairview Hospital Hospital, Great Barrington, MA, CCN 221302

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifervotruba@bfs.medalliesdirect.net

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.

• Berkshire Faculty Services Inc

  • Multi-Specialty Clinic/Center
  • Pittsfield, MA
  • NPI 1548212939
  Medicare reassignment Care Compare group
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248
  Care Compare group
• Fairview Hospital

  dba East Mountain Medical

  • Rural Health Clinic/Center
  • Great Barrington, MA
  • NPI 1881252286
  NPD

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

• Berkshire Medical Center, Inc

  • General Acute Care Hospital
  • Pittsfield, MA
  • NPI 1295765261
  Care Compare affiliation
• Berkshire Medical Center, Inc.

  • Home Health Agency
  • Pittsfield, MA
  • NPI 1205948973
  Care Compare affiliation
• Centerwell Certified Healthcare Corp.

  dba CenterWell Home Health

  • Home Health Agency
  • Pittsfield, MA
  • NPI 1790718427
  Care Compare affiliation
• Fairview Hospital

  • Critical Access Hospital
  • Great Barrington, MA
  • NPI 1730112251
  Care Compare affiliation
• North Adams Regional Hospital Corporation

  • Critical Access Hospital
  • North Adams, MA
  • NPI 1437839669
  Care Compare affiliation
• Tender Loving Care Health Care Services of New England, LLC

  dba Amedisys Home Health Care

  • Home Health Agency
  • Agawam, MA
  • NPI 1770537847
  Care Compare affiliation

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498435200000",
    "number": "1255851747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 NOTCH RD",
            "city": "ADAMS",
            "state": "MA",
            "postal_code": "012201042",
            "telephone_number": "14349073008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631B NORTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014102",
            "telephone_number": "413-445-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOTRUBA",
        "first_name": "JENNIFER",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2017-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA6158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ROSE",
            "middle_name": "MAIRE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physician Assistant in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2017; 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.