Individual provider Active NPI

Jessica Anita Novy, PA-C

  • Physician Assistant
  • Fall River, MA
National Provider Identifier
1427351279
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA4589 Issued in MA
Practice address
901 S Main St
Fall River, MA 02724-2943
Phone
(508) 673-4329
NPI assigned
Dec 17, 2010
Last updated
May 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA4589 MA Primary

Addresses

Primary practice location

901 S Main St
Fall River, MA 02724-2943

Mailing address

901 S Main St
Fall River, MA 02724-2943
Phone (508) 673-4329

Other names 1

  • Jessica Anita Pomposelli Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130326000006 MA Practitioner - Physician Assistant 1254576150 Reassigns benefits to 1 organization
I20190321000031 RI Practitioner - Physician Assistant 1254576150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
JS Weill Medical College, Cornell University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prima Care, PCGroup PAC ID 2567356017, 222 clinicians

Practice addresses (Care Compare)

67 Slade's Ferry Boulevard
Somerset, MA 02726-1220
Phone (508) 676-3292

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA4589MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prima Care, PC CurrentSince Jul 7, 2014 Accepting new patients
Prima Care, PC CurrentSince Jul 7, 2014 Accepting new patients
Steward Medical Group, Inc Past Accepting new patients
Steward Medical Group, Inc PastSince Nov 6, 2010 Accepting new patients

Locations

277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244

901 S Main St
Fall River, MA 02724
Phone (508) 673-4329

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

19 Friendship St
Unit 150
Newport, RI 02840
Phone (401) 848-6042

Interoperability endpoints

  • Direct secure messaging: jessica.novy@prima.eclinicaldirectplus.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, 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": "1292544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1427351279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S MAIN ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027242943",
            "telephone_number": "508-673-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S MAIN ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027242943",
            "telephone_number": "508-673-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVY",
        "first_name": "JESSICA",
        "middle_name": "ANITA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-17",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA4589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "POMPOSELLI",
            "middle_name": "ANITA",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.