Individual provider Active NPI

Justin Jeffries, CRNP

  • Nurse Practitioner
  • Greensburg, PA
National Provider Identifier
1780138123
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP016303 Issued in PA
Practice address
1275 S Main St Ste 202
Greensburg, PA 15601-5385
Phone
(724) 836-8303
Fax
(724) 836-8311
NPI assigned
Aug 14, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP016303 PA Primary
Family Nurse Practitioner 363LF0000X SP016303 PA

Addresses

Primary practice location

1275 S Main St Ste 202
Greensburg, PA 15601-5385

Mailing address

575 Coal Valley Rd Ste 204
Clairton, PA 15025-3724
Phone (412) 466-2220

Other practice location 1

160 Wayland Smith Dr Ste 102
Uniontown, PA 15401-7500
Phone (724) 438-3300

Other identifiers 2

IdentifierTypeStateIssuer
1037357530001MedicaidPA
1037357530011MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jjeffries35839@direct.acumenmd.com

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
I20200304000968 PA Practitioner - Nurse Practitioner 5698102663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pittsburgh Kidney Care LLCGroup PAC ID 1658664578, 15 clinicians

Practice addresses (Care Compare)

1275 S Main St
Suite 202
Greensburg, PA 15601-5385
Phone (724) 836-8303

Hospital & facility affiliations

  • Excela Health Westmoreland Regional Hospital Hospital, Greensburg, PA, CCN 390145
  • Uniontown Hospital Hospital, Uniontown, PA, CCN 390041
  • Excela Health - Frick Hospital Hospital, Mount Pleasant, PA, CCN 390217

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP016303PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pittsburgh Kidney Care LLC CurrentSince Feb 1, 2020 Accepting new patients
Senior Life Greensburg, Inc Past Accepting new patients

Locations

17 Arentzen Blvd
Ste 204
Charleroi, PA 15022
Phone (724) 489-0220

575 Coal Valley Rd
Ste 204
Clairton, PA 15025
Phone (412) 466-2220

1275 S Main St
Ste 202
Greensburg, PA 15601
Phone (724) 836-8303

562 Shearer St
Ste B104
Greensburg, PA 15601
Phone (724) 836-8303

2000 Summit Ridge Plz
Mt Pleasant, PA 15666
Phone (724) 542-7125

160 Wayland Smith Dr
Ste 102
Uniontown, PA 15401
Phone (724) 437-7500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14360/brand/23/csg/1/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 and National Provider Directory roles.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1471132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1780138123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD STE 204",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "150253724",
            "telephone_number": "412-466-2220",
            "fax_number": "412-466-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 S MAIN ST STE 202",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156015385",
            "telephone_number": "724-836-8303",
            "fax_number": "724-836-8311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Wayland Smith Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Uniontown",
            "state": "PA",
            "postal_code": "154017500",
            "country_code": "US",
            "telephone_number": "724-438-3300",
            "fax_number": "724-438-3366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFRIES",
        "first_name": "JUSTIN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-14",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP016303",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016303",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1037357530001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1037357530011",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jjeffries35839@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "1275 S Main St Ste 202",
            "city": "Greensburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "156015385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.