Jessica Annette Hurley, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.002164 Issued in OH

Practice address

700 S Broadway St
Blanchester, OH 45107-1465

Phone

(937) 783-2600

Fax

(937) 783-3086

NPI assigned

Nov 15, 2007

Last updated

Nov 15, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

20.51 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

68.35

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4863/brand/1/csg/1/fhir/r4

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.

• Midwest Hospitalists, Inc

  • Hospitalist Physician
  • Blue Ash, OH
  • NPI 1356465439
  Medicare reassignment
• Midwest Wound Care Specialists LLC

  • Physician Assistant
  • Cincinnati, OH
  • NPI 1871931519
  Medicare reassignment
• Geriatric Providers and Hospitalists Inc

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1578687687

  Physician Assistant

  NPD (past)
• Vanguard Medical

  • Emergency Medicine Physician
  • Cincinnati, OH
  • NPI 1457463051
  NPD (past)

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1639350952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S BROADWAY ST",
            "city": "BLANCHESTER",
            "state": "OH",
            "postal_code": "451071465",
            "telephone_number": "937-783-2600",
            "fax_number": "937-783-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S BROADWAY ST",
            "city": "BLANCHESTER",
            "state": "OH",
            "postal_code": "451071465",
            "telephone_number": "937-783-2600",
            "fax_number": "937-783-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLEY",
        "first_name": "JESSICA",
        "middle_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.002164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Allison Ann Jones I
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• Physician Assistant in Blanchester, OH
• Providers in Blanchester, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.

Verify at the official NPI Registry.