Individual provider Active NPI

Jessica Gray, PA-C

  • Medical Physician Assistant
  • Verona, PA
National Provider Identifier
1346648102
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA057375 Issued in PA
Practice address
5769 Saltsburg Rd
Verona, PA 15147-3257
Phone
(412) 793-8870
NPI assigned
Dec 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA057375 PA Primary

Addresses

Primary practice location

5769 Saltsburg Rd
Verona, PA 15147-3257

Mailing address

5769 Saltsburg Rd
Verona, PA 15147-3257

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica.brucker@upmcdirect.com UPMC

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
I20150501000972 PA Practitioner - Physician Assistant 6103145859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance Family Practice-Upmc, IncGroup PAC ID 7012085558, 44 clinicians

Practice addresses (Care Compare)

200 Delafield Rd
Pittsburgh, PA 15215-3214

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as group
Quality
84.53
Promoting interoperability
100
Improvement activities
40
Cost
75.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA057375PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Family Practice-Upmc,Inc CurrentSince Jun 18, 2018 Accepting new patients

Locations

200 Delafield Rd
Ste 3010
Pittsburgh, PA 15215
Phone (412) 781-1832

2 Hot Metal St
Ste 1
Pittsburgh, PA 15203

200 Delafield Rd
Ste 2030
Pittsburgh, PA 15215
Phone (412) 782-2101

5769 Saltsburg Rd
Verona, PA 15147
Phone (412) 793-8870

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1346648102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5769 SALTSBURG RD",
            "city": "VERONA",
            "state": "PA",
            "postal_code": "151473257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5769 SALTSBURG RD",
            "city": "VERONA",
            "state": "PA",
            "postal_code": "151473257",
            "telephone_number": "412-793-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JESSICA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-10",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.brucker@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Verona, PA

Sources for this page

Verify at the official NPI Registry.