Individual provider Active NPI

Jadyn Holste

  • Physician Assistant
  • Monroeville, PA
National Provider Identifier
1467724401
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA057591 Issued in PA
Practice address
2570 Haymaker Rd
Monroeville, PA 15146-3513
Phone
(412) 858-2323
NPI assigned
Feb 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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 C04684 MD
Physician Assistant 363A00000X MA057591 PA Primary

Addresses

Primary practice location

2570 Haymaker Rd
Monroeville, PA 15146-3513

Mailing address

1604 Pittsburgh Ave
Mt Lake Park, MD 21550-3418
Phone (443) 243-3433

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
I20200324000708 MA Practitioner - Physician Assistant 3971764085 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Jefferson Medical College of Thomas Jefferson University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brigham and Womens Physicians Organization IncGroup PAC ID 3870405988, 2,931 clinicians

Practice addresses (Care Compare)

1153 Centre St
Jamaica Plain, MA 02130-3446
Phone (617) 983-7000

20 Patriot PL
Foxborough, MA 02035-1375
Phone (508) 718-4000

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

Hospital & facility affiliations

  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Brigham and Women Faulkner Hospital Hospital, Jamaica Plain, MA, CCN 220119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C04684MDMDPhysician Assistant
MA057591PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Urgent Care LLC CurrentSince Nov 3, 2022 Accepting new patients
Brigham and Women'S Hospital Current Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince Nov 3, 2022 Accepting new patients
Champion Emergency Physicians LLC Past Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients
Caton Emergency Physicians Physician Assistant Past Accepting new patients
Maryland Provo-I Medical Services, PC Physician Assistant Past Accepting new patients

Locations

75 Francis St
Boston, MA 02115

1285 Beacon St
Brookline, MA 02446
Phone (617) 751-6205

Interoperability endpoints

  • Direct secure messaging: holste.jadyn.bwh@direct.partners.masshiway.net

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1467724401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 PITTSBURGH AVE",
            "city": "MT LAKE PARK",
            "state": "MD",
            "postal_code": "215503418",
            "telephone_number": "443-243-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 HAYMAKER RD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463513",
            "telephone_number": "412-858-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSTE",
        "first_name": "JADYN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-07",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C04684",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA057591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.