Individual provider Active NPI

Jessica Marie Johnson, CRNP

  • Family Nurse Practitioner
  • Jefferson Hills, PA
National Provider Identifier
1407197734
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP012520 Issued in PA
Practice address
448 Old Clairton Rd
Jefferson Hills, PA 15025-3034
Phone
(814) 265-1164
NPI assigned
Mar 12, 2013
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP012520 PA Primary

Addresses

Primary practice location

448 Old Clairton Rd
Jefferson Hills, PA 15025-3034

Mailing address

8796 Route 219
Brockway, PA 15824-6010
Phone (814) 265-1164

Other practice location 1

4284 William Flynn Hwy
Suite 102
Allison Park, PA 15101
Phone (412) 219-1160

Other identifiers 1

IdentifierTypeStateIssuer
017167OtherPACRNP PRESCRIPTIVE AUTHORITY

Other names 1

  • Ms. Jessica Marie Monocello 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150421000807 PA Practitioner - Nurse Practitioner 4789902800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians

Practice addresses (Care Compare)

1024 W View Park Dr
Parepally Endocrinology Upmc
West View, PA 15229-1771
Phone (412) 219-1180

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
70.53
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine, Inc Current Accepting new patients
Upmc Community Medicine Inc CurrentSince Apr 20, 2020 Accepting new patients
Upmc Community Medicine Inc Past Accepting new patients

Locations

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

5140 Liberty Ave
Ste 150
Pittsburgh, PA 15224
Phone (412) 315-0400

Interoperability endpoints

  • Direct secure messaging: jessica.m.johnson@upmcdirect.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1407197734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8796 ROUTE 219",
            "city": "BROCKWAY",
            "state": "PA",
            "postal_code": "158246010",
            "telephone_number": "814-265-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 OLD CLAIRTON RD",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253034",
            "telephone_number": "814-265-1164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4284 William Flynn Hwy",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Allison Park",
            "state": "PA",
            "postal_code": "15101",
            "country_code": "US",
            "telephone_number": "412-219-1160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP PRESCRIPTIVE AUTHORITY",
            "identifier": "017167",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MONOCELLO",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jefferson Hills, PA

Sources for this page

Verify at the official NPI Registry.