Individual provider Active NPI

Jessica M Diamond, PA-C

  • Physician Assistant
  • Butler, PA
National Provider Identifier
1669459954
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA051517 Issued in PA
Practice address
127 Oneida Valley Rd Ste 400
Butler, PA 16001-2251
Phone
(866) 620-6761
Fax
(724) 282-3043
NPI assigned
Dec 28, 2005
Last updated
Sep 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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 C0002811 MD
Physician Assistant 363A00000X MA051517 PA Primary

Addresses

Primary practice location

127 Oneida Valley Rd Ste 400
Butler, PA 16001-2251

Mailing address

127 Oneida Valley Rd Ste 400
Butler, PA 16001-2251
Phone (866) 620-6761

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100407000368 PA Practitioner - Physician Assistant 0143200923

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butler Medical ProvidersGroup PAC ID 7416840160, shared by 2 NPIs, 355 clinicians

Practice addresses (Care Compare)

1 Hospital Way
Butler, PA 16001-4670

1 Hospital Way 4
Butler Infectious Disease Services
Butler, PA 16001-4670
Phone (724) 284-4309

127 Oneida Valley Rd
Suite 400
Butler, PA 16001-2251
Phone (833) 995-0118

One Hospital Way 4TH Floor
BHS Women's Care Associates
Butler, PA 16001-4670
Phone (844) 765-2845

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0002811MDMDPhysician Assistant
MA051517PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers CurrentSince Jan 1, 2009 Accepting new patients
Upmc Western Maryland Health Services, LLC Past Accepting new patients
Butler Medical Providers Past Accepting new patients
Butler Medical Providers Past Accepting new patients

Locations

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

Interoperability endpoints

  • Direct secure messaging: jessica.diamond@direct-address.net

Organizations & group practices 4

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.

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1669459954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 ONEIDA VALLEY RD STE 400",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012251",
            "telephone_number": "866-620-6761",
            "fax_number": "724-282-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 ONEIDA VALLEY RD STE 400",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012251",
            "telephone_number": "866-620-6761",
            "fax_number": "724-282-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0002811",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.