NPIMap

Individual provider Active NPI

Jessica M Bruce, PA-C

  • Physician Assistant
  • Ford City, PA
National Provider Identifier
1346691128
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
432 3Rd Ave
Ford City, PA 16226-1003
Phone
(724) 763-9200
Fax
(724) 763-9235
NPI assigned
Jun 23, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

432 3Rd Ave
Ford City, PA 16226-1003

Mailing address

PO Box 1549
Butler, PA 16003-1549
Phone (724) 284-5670

Other identifiers 1

IdentifierTypeStateIssuer
103179880-0001MedicaidPA

Other names 1

  • Jessica Hessom Former name

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
I20160920002043 PA Practitioner - Physician Assistant 0547557423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians

Practice addresses (Care Compare)

24 Doctors LN
Clarion, PA 16214-8574

432 3Rd Ave
Ford City, PA 16226-1003
Phone (833) 906-0106

Hospital & facility affiliations

  • Acmh Hospital Hospital, Kittanning, PA, CCN 390163
  • Independence Health System Butler Memorial Hospita Hospital, Butler, PA, CCN 390168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers CurrentSince Jul 18, 2016 Accepting new patients
Butler Medical Providers CurrentSince Jul 18, 2016 Accepting new patients
Butler Medical Providers Past Accepting new patients

Locations

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

432 3rd Ave
Ford City, PA 16226
Phone (724) 763-9200

Interoperability endpoints

  • Direct secure messaging: jessica.bruce@direct-address.net

Organizations & group practices 4

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 10

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

NPI Registry JSON

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511827200000",
    "number": "1346691128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1549",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160031549",
            "telephone_number": "724-284-5670",
            "fax_number": "724-284-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 3RD AVE",
            "city": "FORD CITY",
            "state": "PA",
            "postal_code": "162261003",
            "telephone_number": "724-763-9200",
            "fax_number": "724-763-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2017-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103179880-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "HESSOM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ford City, PA

Sources for this page

Verify at the official NPI Registry.