Active NPI
Jessica Ann Evans, PA-C
- Physician Assistant
- Bellefonte, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA060670
- Practice address
- 819 E Bishop St
Bellefonte, PA 16823-2319 - Phone
- (814) 355-9743
- Fax
- (814) 353-3500
- NPI assigned
- May 29, 2019
- Last updated
- Dec 16, 2022
- 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 | MA060670 | ||
| Physician Assistant | 363A00000X | MA060670 | PA | Primary |
Addresses
Primary practice location
819 E Bishop St
Bellefonte, PA 16823-2319
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144
Other names 1
- Jessica Ann Simmons
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger-HM Joint Venture, LLC | Physician Assistant | Current | Accepting new patients |
| Geisinger-HM Joint Venture, LLC | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
819 E Bishop St
Bellefonte, PA 16823
Phone (814) 231-4560
100 N Academy Ave
Danville, PA 17822
10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566
200 Scenery Dr
State College, PA 16801
Phone (814) 231-4560
611 University Dr
State College, PA 16801
Phone (814) 234-2600
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
dba Geisinger Medical Clinic Lock Haven
- Family Medicine Physician
- Lock Haven, PA
- NPI 1144876137
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
dba PrimeMed Medical Grp Dunmore in collaboration w/Geisinger Clinic
- Family Medicine Physician
- Dunmore, PA
- NPI 1821405408
-
- Family Medicine Physician
- Williamsport, PA
- NPI 1073075909
Physician Assistant
-
- Gastroenterology Physician
- Montoursville, PA
- NPI 1396207015
-
dba Windber Medical Center
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671148800000",
"number": "1649838376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178224903",
"telephone_number": "570-271-6144",
"fax_number": "570-271-6578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 E BISHOP ST",
"city": "BELLEFONTE",
"state": "PA",
"postal_code": "168232319",
"telephone_number": "814-355-9743",
"fax_number": "814-353-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "JESSICA",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-29",
"last_updated": "2022-12-16",
"certification_date": "2022-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": "MA060670",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA060670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "SIMMONS",
"middle_name": "ANN",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bellefonte, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.