Individual provider Active NPI

Jazmyn Phillips, PA-C

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1396510822
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3601 5TH Ave Ste 5a
Pittsburgh, PA 15213-3403
Phone
(412) 647-4200
NPI assigned
Nov 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA064923 PA
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

3601 5TH Ave Ste 5a
Pittsburgh, PA 15213-3403

Mailing address

201 Gress Rd
Cranberry Township, PA 16066-7937
Phone (724) 799-6323

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jazmyn.a.phillips@upmcdirect.com

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
I20240109002528 PA Practitioner - Physician Assistant 0143671610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

200 Lothrop St
Pittsburgh, PA 15213-2536

580 S Aiken Ave
Pittsburbh, PA 15232-1531

9000 Brooktree Rd
Suite 200
Wexford, PA 15090-9288
Phone (724) 933-1320

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Mar 1, 2024 Accepting new patients
University of Pittsburgh Physicians CurrentSince Mar 1, 2024 Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients

Locations

3601 5th Ave
Fl 5A
Pittsburgh, PA 15213

3601 5th Ave
Ste 5A
Pittsburgh, PA 15213
Phone (412) 647-4200

Interoperability endpoints

  • Direct secure messaging: jazmyn.a.phillips@upmcdirect.com

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 4

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": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1396510822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 GRESS RD",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160667937",
            "telephone_number": "724-799-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 5TH AVE STE 5A",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133403",
            "telephone_number": "412-647-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JAZMYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-15",
        "last_updated": "2024-02-20",
        "certification_date": "2023-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA064923",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jazmyn.a.phillips@upmcdirect.com",
            "affiliation": "N",
            "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 Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.