Individual provider Active NPI

Jason R Fantini, PA-C

  • Physician Assistant
  • Wexford, PA
National Provider Identifier
1679710859
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA050975 Issued in PA
Practice address
7000 Stonewood Dr Ste 151
Wexford, PA 15090-7376
Phone
(724) 933-0300
Fax
(724) 933-0456
NPI assigned
Jan 9, 2009
Last updated
Jan 9, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA050975 PA Primary

Addresses

Primary practice location

7000 Stonewood Dr Ste 151
Wexford, PA 15090-7376

Mailing address

7000 Stonewood Dr Ste 151
Wexford, PA 15090-7376
Phone (724) 933-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090324000545 PA Practitioner - Physician Assistant 0648337477 Reassigns benefits to 1 organization
I20171220001441 WV Practitioner - Physician Assistant 0648337477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Pain Medicine PCGroup PAC ID 1052370657, 15 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

1 Hospital Way
Butler, PA 16001-4670
Phone (724) 933-0300

203 High Pointe Dr
Seven Fields, PA 16046-7921
Phone (724) 742-1250

2566 Haymaker Rd
Suite 311
Monroeville, PA 15146-3555
Phone (724) 933-0300

356 Freeport St
Suite 205a
New Kensington, PA 15068-6071
Phone (724) 933-0300

7000 Stonewood Dr
Suite 151
Wexford, PA 15090-7376
Phone (724) 933-0300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA050975PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Windber Hospital, Inc. Past Accepting new patients
Advanced Pain Medicine PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jfantini562969@direct.ahn.org

Organizations & group practices 3

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 7

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": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231459200000",
    "number": "1679710859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 STONEWOOD DR STE 151",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907376",
            "telephone_number": "724-933-0300",
            "fax_number": "724-933-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 STONEWOOD DR STE 151",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907376",
            "telephone_number": "724-933-0300",
            "fax_number": "724-933-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANTINI",
        "first_name": "JASON",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA050975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.