Individual provider Active NPI

Jillian R Hevey, PA

  • Physician Assistant
  • Springfield, MA
National Provider Identifier
1396858726
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2376 Issued in MA
Practice address
271 Carew St
Springfield, MA 01104-2377
Phone
(413) 748-9137
Fax
(413) 452-6049
NPI assigned
Aug 17, 2006
Last updated
Dec 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001777 CT
Physician Assistant 363A00000X PA2376 MA Primary

Addresses

Primary practice location

271 Carew St
Springfield, MA 01104-2377

Mailing address

271 Carew St
Springfield, MA 01104-2377
Phone (413) 748-9137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20071019000103 MA Practitioner - Physician Assistant 6800892837 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Am Medical PCGroup PAC ID 9133451990, 14 clinicians
Geriatric Primary Care PCGroup PAC ID 7315483583, 14 clinicians

Practice addresses (Care Compare)

1200 Converse St
Longmeadow, MA 01106-1675
Phone (413) 374-0031

25 Coles Meadow Rd
Suite 37
Northampton, MA 01060-1148
Phone (413) 374-0031

345 Haydenville Rd
Leeds, MA 01053-9789
Phone (413) 374-0031

460 W St
Ludlow, MA 01056-1003
Phone (413) 374-0031

50 Village Hill Rd
Northampton, MA 01060-3664
Phone (413) 374-0031

551 N Rd
Westfield, MA 01085-5143
Phone (413) 374-0031

723 Main St
Agawam, MA 01001-2540
Phone (413) 374-0031

741 Parker St
East Longmeadow, MA 01028-1488
Phone (413) 374-0031

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001777CTMDPhysical Therapy Assistant
PA2376MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Professional Associates, PC Past Accepting new patients

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1396858726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 CAREW ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042377",
            "telephone_number": "413-748-9137",
            "fax_number": "413-452-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 CAREW ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042377",
            "telephone_number": "413-748-9137",
            "fax_number": "413-452-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEVEY",
        "first_name": "JILLIAN",
        "middle_name": "R",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "001777",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA2376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.