Jessica Lynn Dilling, CRNP

Individual provider Active NPI Nurse Practitioner · Roaring Spring, PA

NPI 1427344282 · NPPES record last updated Jun 20, 2019

Key facts

NPI
1427344282
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
SP011441 (PA)
Practice address
105 Nason Dr
Roaring Spring, PA 16673
Phone
(814) 224-4121
Fax
(814) 224-6247
NPI assigned
Jun 21, 2011
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Merit-based Incentive Payment System (MIPS)

Final score
79.88 of 100 (group)
Quality
62.63
Promoting interoperability
100
Improvement activities
40
Cost
70.3

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20110909002623 PA Practitioner - Nurse Practitioner 5799955373 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP011441PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona Current
since Jan 1, 2014
Accepting new patients
Upmc Altoona Regional Health Services, Inc Current
since Jul 29, 2011
Accepting new patients
Upmc Altoona Current
since Jan 1, 2014
Accepting new patients
Upmc Altoona Regional Health Services, Inc Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

620 Howard Ave
Fl Fifth
Altoona, PA 16601
Phone (814) 889-2223

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

1414 9th Ave
#B
Altoona, PA 16602

620 Howard Ave
#302
Altoona, PA 16601
Phone (814) 889-2011

105 Nason Dr
Roaring Spring, PA 16673
Phone (814) 224-2141

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP011441 PA Yes

Addresses

Primary practice location

105 Nason Dr
Roaring Spring, PA 16673

Mailing address

105 Nason Dr
Roaring Spring, PA 16673-1202
Phone (814) 224-4121

Other practice location 1

1414 9th Ave
Station Medical Center
Altoona, PA 16602-2415
Phone (814) 946-1655

Other identifiers

IdentifierTypeStateIssuer
1035582560001MedicaidPA

Other names

  • Jessica Lynn Garrison Former name

Other providers in Roaring Spring, PA

All providers in Roaring Spring, PA · Nurse Practitioner in Pennsylvania

Sources for this page

Verify at the official NPI Registry.