Individual provider Active NPI

Jamie L. Rupert, PA-C

  • Medical Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1467659706
Registry record updated Nov 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA052812 Issued in PA
Practice address
1144 Locust St
Philadelphia, PA 19107-6734
Phone
(215) 351-5560
Fax
(267) 536-4191
NPI assigned
Jun 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA052812 PA Primary

Addresses

Primary practice location

1144 Locust St
Philadelphia, PA 19107-6734

Mailing address

1144 Locust St
Philadelphia, PA 19107-6734
Phone (215) 351-5560

Other names 1

  • Jamie L. Paulits Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA052812PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Southeastern Pennsylvania Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jamie.rupert.p5@direct.bhplannedparenthood.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667606400000",
    "number": "1467659706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 LOCUST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076734",
            "telephone_number": "215-351-5560",
            "fax_number": "267-536-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 LOCUST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076734",
            "telephone_number": "215-351-5560",
            "fax_number": "267-536-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPERT",
        "first_name": "JAMIE",
        "middle_name": "L.",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2022-11-05",
        "certification_date": "2022-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA052812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "PAULITS",
            "middle_name": "L.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.