Active NPI
Jessica Ann Zozos-Stehman
- Physician Assistant
- Montoursville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA056888
- Practice address
- 780 Broad St
Montoursville, PA 17754-2419 - Phone
- (570) 368-2870
- Fax
- (570) 368-4463
- NPI assigned
- Jun 5, 2014
- Last updated
- Aug 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA056888 | PA | Primary |
Addresses
Primary practice location
780 Broad St
Montoursville, PA 17754-2419
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144
Other practice location 1
24 Cree Dr
Lock Haven, PA 17745-2639
Phone (570) 893-5043
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jzozos131779@direct.geisinger.edu | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Perelman School of Med at the University of Pennsylvania, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 Choate Cir
Montoursville, PA 17754-9791
Phone (570) 368-5566
68 Spring St
Lock Haven, PA 17745-1911
Phone (800) 230-4565
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA056888 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger-HM Joint Venture, LLC | Physician Assistant | Current | Accepting new patients |
| Geisinger-HM Joint Venture, LLC | Current | Accepting new patients | |
| Geisinger Clinic | Physician Assistant | Current | Accepting new patients |
| Geisinger Clinic | Past | Accepting new patients |
Locations
100 N Academy Ave
Danville, PA 17822
100 N Academy Ave
#43
Danville, PA 17822
Phone (570) 271-6304
68 Spring St
Lock Haven, PA 17745
Phone (570) 263-5830
10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566
780 Broad St
Montoursville, PA 17754
Phone (570) 368-2870
Organizations & group practices 6
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.
-
dba Geisinger Medical Clinic Lock Haven
- Family Medicine Physician
- Lock Haven, PA
- NPI 1144876137
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
- Family Medicine Physician
- Williamsport, PA
- NPI 1073075909
Physician Assistant
-
dba Geisinger Jersey Shore Associates
- Family Medicine Physician
- Lock Haven, PA
- NPI 1427604222
-
- Surgery Physician
- Danville, PA
- NPI 1255382784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598745600000",
"number": "1265845440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178224903",
"telephone_number": "570-271-6144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 BROAD ST",
"city": "MONTOURSVILLE",
"state": "PA",
"postal_code": "177542419",
"telephone_number": "570-368-2870",
"fax_number": "570-368-4463"
}
],
"practiceLocations": [
{
"address_1": "24 Cree Dr",
"address_purpose": "LOCATION",
"city": "Lock Haven",
"state": "PA",
"postal_code": "177452639",
"country_code": "US",
"telephone_number": "570-893-5043",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZOZOS-STEHMAN",
"first_name": "JESSICA",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-05",
"last_updated": "2020-08-30",
"certification_date": "2020-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA056888",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jzozos131779@direct.geisinger.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "780 Broad St",
"city": "Montoursville",
"state": "PA",
"country_code": "US",
"postal_code": "177542419",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Montoursville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2020; 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.