Individual provider Active NPI

Jamie A Hopkins, D.O.

  • Family Medicine Physician
  • Carbondale, PA
National Provider Identifier
1376735571
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS013855 Issued in PA
Practice address
150 Brooklyn St
Carbondale, PA 18407-2274
Phone
(570) 282-7646
Fax
(570) 282-7644
NPI assigned
Aug 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS013855 PA Primary

Addresses

Primary practice location

150 Brooklyn St
Carbondale, PA 18407-2274

Mailing address

150 Brooklyn St
Carbondale, PA 18407-2274
Phone (570) 876-6470

Other identifiers 1

IdentifierTypeStateIssuer
102175125MedicaidPA

Other names 1

  • Jamie A Peters Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080723000335 PA Practitioner - Family Practice 4183797285 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Inpatient Medicine Transitional Care PCGroup PAC ID 2365742079, 9 clinicians

Practice addresses (Care Compare)

1404 Golf Park Dr
Lake Ariel, PA 18436-4252
Phone (570) 698-5647

Hospital & facility affiliations

  • Compassionate Care Hospice of Northwestern Pennsylvania, LLC Hospice, Olyphant, PA, CCN 391667
  • Hospice of the Sacred Heart Hospice, Moosic, PA, CCN 391656
  • Home Health Care Professionals and Hospice Hospice, Olyphant, PA, CCN 391680
  • Wilkes-Barre General Hospital Hospital, Wilkes-Barre, PA, CCN 390137
  • Julia Ribaudo Extended Care Center Nursing home, Lake Ariel, PA, CCN 395493

Merit-based Incentive Payment System (MIPS)

Final score
92.65 of 100Reported as group
Quality
87.25
Improvement activities
40
Cost
65.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS013855PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Inpatient Medicine Transitional Care PC Family Medicine CurrentSince Sep 16, 2023 Accepting new patients
Scranton Quincy Clinic Company LLC Family Medicine CurrentSince Jan 1, 2012 Accepting new patients
Advanced Inpatient Medicine Transitional Care - Ltcaco LLC Family Medicine CurrentSince Nov 1, 2025 Accepting new patients
Julia Ribaudo Healthcare Group, LLC Past Accepting new patients
Physicians Health Alliance Inc Past Accepting new patients

Locations

150 Brooklyn St
Carbondale, PA 18407
Phone (570) 282-2031

1404 Golf Park Dr
Lake Ariel, PA 18436
Phone (570) 466-2757

315 S Main St
Old Forge, PA 18518
Phone (570) 457-8364

80 E Northampton St
Wilkes Barre, PA 18701
Phone (570) 826-1031

575 N River St
#M
Wilkes Barre, PA 18764

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Julia Ribaudo Extended Care CenterLake Ariel, PA, CCN 395493 Skilled nursing facility Adp of the SNF Oct 25, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 6

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": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1376735571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BROOKLYN ST",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184072274",
            "telephone_number": "570-876-6470",
            "fax_number": "570-282-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BROOKLYN ST",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184072274",
            "telephone_number": "570-282-7646",
            "fax_number": "570-282-7644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "JAMIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS013855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102175125",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "PETERS",
            "middle_name": "A",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carbondale, PA

Sources for this page

Verify at the official NPI Registry.