Individual provider Active NPI

Jessica Giordano, CRNP

  • Nurse Practitioner
  • Bentleyville, PA
National Provider Identifier
1760936876
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP016291 Issued in PA
Practice address
55 Gosai Dr Ste 112
Bentleyville, PA 15314-1061
Phone
(412) 226-6399
NPI assigned
Aug 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP016291 PA Primary

Addresses

Primary practice location

55 Gosai Dr Ste 112
Bentleyville, PA 15314-1061

Mailing address

55 Gosai Dr
Bentleyville, PA 15314-1061

Other practice location 1

5140 Liberty Ave Ste 150
Pittsburgh, PA 15224-2215
Phone (412) 315-0400

Other practice location 2

2001 Lincoln Way Ste 290
White Oak, PA 15131-2419
Phone (412) 267-5969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP016291PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Medical Plus Nurse Practitioner CurrentSince Sep 1, 2023 Accepting new patients
Matrix Medical Network of West Nurse Practitioner CurrentSince Sep 1, 2023 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

209 Washington St W
Charleston, WV 25302
Phone 24852821166

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1760936876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 GOSAI DR",
            "city": "BENTLEYVILLE",
            "state": "PA",
            "postal_code": "153141061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 GOSAI DR STE 112",
            "city": "BENTLEYVILLE",
            "state": "PA",
            "postal_code": "153141061",
            "telephone_number": "412-226-6399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5140 Liberty Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152242215",
            "country_code": "US",
            "telephone_number": "412-315-0400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Lincoln Way Ste 290",
            "address_purpose": "LOCATION",
            "city": "White Oak",
            "state": "PA",
            "postal_code": "151312419",
            "country_code": "US",
            "telephone_number": "412-267-5969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIORDANO",
        "first_name": "JESSICA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-05",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP016291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentleyville, PA

Sources for this page

Verify at the official NPI Registry.