Individual provider Active NPI

Jacqueline Rose Tomasco, PMHNP

  • Psychiatry Physician
  • Wernersville, PA
National Provider Identifier
1710732953
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
SP029445 Issued in PA
Practice address
374 Mountain Blvd
Wernersville, PA 19565-9219
Phone
(570) 561-2990
Fax
(570) 300-1829
NPI assigned
Apr 22, 2024
Last updated
Apr 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X SP029445 PA Primary

Addresses

Primary practice location

374 Mountain Blvd
Wernersville, PA 19565-9219

Mailing address

30 Revere St
Feasterville Trevose, PA 19053-4322
Phone (215) 833-4609

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
I20240522004228 PA Practitioner - Nurse Practitioner 5597107557 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of Pennsylvania PCGroup PAC ID 6507246345, 98 clinicians

Practice addresses (Care Compare)

1 Kirkland Village Cir
Bethlehem, PA 18017-4797
Phone (337) 991-9276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP029445PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services PA PC CurrentSince Mar 11, 2025 Accepting new patients
Curana Health of Pennsylvania PC CurrentSince Mar 11, 2025 Accepting new patients

Locations

526 N Saint Cloud St
#1601
Allentown, PA 18104

1 Kirkland Vlg
Bethlehem, PA 18017
Phone (610) 691-4500

1 Penn Blvd
Philadelphia, PA 19144
Phone (215) 951-8060

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1710732953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 REVERE ST",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190534322",
            "telephone_number": "215-833-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 MOUNTAIN BLVD",
            "city": "WERNERSVILLE",
            "state": "PA",
            "postal_code": "195659219",
            "telephone_number": "570-561-2990",
            "fax_number": "570-300-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMASCO",
        "first_name": "JACQUELINE",
        "middle_name": "ROSE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "SP029445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wernersville, PA

Sources for this page

Verify at the official NPI Registry.