Active NPI
Jadyn Holste
- Physician Assistant
- Monroeville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA057591
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Brigham and Women Faulkner Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C04684 | MD | MD | Physician Assistant |
| MA057591 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass General Brigham Urgent Care LLC | Current | Accepting new patients | |
| Brigham and Women'S Hospital | Current | Accepting new patients | |
| Mass General Brigham Urgent Care LLC | Current | 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
- 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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
-
- Urgent Care Clinic/Center
- Brookline, MA
- NPI 1720486830
-
- General Acute Care Hospital
- Boston, MA
- NPI 1093885816
-
- Urgent Care Clinic/Center
- Cambridge, MA
- NPI 1609387695
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1265464598
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1003829953
Physician Assistant
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1649533357
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1013002096
Physician Assistant
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Boston, MA
- NPI 1578677811
-
- Psychiatric Hospital Unit
- Boston, MA
- NPI 1033121025
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.