Jan Marie San Juan Dellasega, AGNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP031303 Issued in PA

Practice address

507 N York St Ste 3a
Mechanicsburg, PA 17055-2778

Phone

(717) 516-1290

NPI assigned

Nov 19, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Creek Medical, PLLC

  • Internal Medicine Physician
  • York, PA
  • NPI 1376929679
  Medicare reassignment NPD

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1356166953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 N YORK ST STE 3A",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170552778",
            "telephone_number": "717-516-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N YORK ST STE 3A",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170552778",
            "telephone_number": "717-516-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLASEGA",
        "first_name": "JAN MARIE",
        "middle_name": "SAN JUAN",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP031303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra L Boshinski, OD, PC (Boshinski Eye Clinics)
• Terence D Dees, MD
• Timothy Deimling, M.D.
• Carlos Fermin Delafuente, M.D.
• Suzanne A. Dell, MS
• Lauren Demaioribus, DPT
• Elizabeth Demalija
• Clarissa Ann Dempsey
• Rachel Catherine Denlinger, BS, RDN, LDN
• Ann D Dennison, PT, DPT, OCS, ATC

• Nurse Practitioner in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.