Active NPI
Jazmyne Shiann Shaffer, PA-C
- Physician Assistant
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- OA004529
- Practice address
- 3330 Peach St Ste 106B
Erie, PA 16508-2771 - Phone
- (814) 877-5770
- Fax
- (814) 877-5771
- NPI assigned
- May 14, 2018
- Last updated
- Oct 22, 2024
- 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 | OA004529 | PA | Primary |
| Physician Assistant | 363A00000X | MA059902 | PA |
Addresses
Primary practice location
3330 Peach St Ste 106B
Erie, PA 16508-2771
Mailing address
3330 Peach St Ste 106B
Erie, PA 16508-2771
Phone (814) 877-5770
Other names 1
- Jazmyne Shiann Sasse
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3330 Peach St
Suite 107
Erie, PA 16508-2771
Phone (814) 877-5500
3406 Peach St
Erie, PA 16508-2740
Phone (814) 877-5381
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA059902 | PA | MD | Physician Assistant |
| OA004529 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Care Services of Pennsylvania, P.C. | Physician Assistant | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger-HM Joint Venture, LLC | Physician Assistant | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients |
Locations
42 N Scott St
Carbondale, PA 18407
Phone (570) 282-6660
100 N Academy Ave
Danville, PA 17822
21 Geisinger Ln
Lewistown, PA 17044
Phone (717) 242-4200
10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566
611 University Dr
State College, PA 16801
Phone (814) 234-2600
Interoperability endpoints
- jazmyne.shaffer@upmcdirect.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Erie, PA
- NPI 1174520654
-
- Emergency Medicine Physician
- Langhorne, PA
- NPI 1114955010
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
dba Geisinger Medical Clinic Lock Haven
- Family Medicine Physician
- Lock Haven, PA
- NPI 1144876137
-
- Emergency Medicine Physician
- Wilkes Barre, PA
- NPI 1235374927
Physician Assistant
-
- Pediatrics Physician
- Selinsgrove, PA
- NPI 1326346487
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Family Medicine Physician
- Williamsport, PA
- NPI 1073075909
Physician Assistant
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Erie, PA
- NPI 1487647590
-
- General Acute Care Hospital
- Erie, PA
- NPI 1538207394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729555200000",
"number": "1699265793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3330 PEACH ST STE 106B",
"city": "ERIE",
"state": "PA",
"postal_code": "165082771",
"telephone_number": "814-877-5770",
"fax_number": "814-877-5771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 PEACH ST STE 106B",
"city": "ERIE",
"state": "PA",
"postal_code": "165082771",
"telephone_number": "814-877-5770",
"fax_number": "814-877-5771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFFER",
"first_name": "JAZMYNE",
"middle_name": "SHIANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-14",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "OA004529",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA059902",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAZMYNE",
"last_name": "SASSE",
"middle_name": "SHIANN",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.