Individual provider Active NPI

Jayme Lynn Isett, PA

  • Physician Assistant
  • Salisbury, MD
National Provider Identifier
1801363262
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0002833 Issued in MD
Practice address
314 W Carroll St Ste 1
Salisbury, MD 21801-5409
Phone
(410) 546-0464
Fax
(410) 546-8529
NPI assigned
Oct 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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 C0002833 MD Primary

Addresses

Primary practice location

314 W Carroll St Ste 1
Salisbury, MD 21801-5409

Mailing address

314 W Carroll St Ste 1
Salisbury, MD 21801-5409
Phone (410) 546-0464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 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
I20190122002090 MD Practitioner - Physician Assistant 5193062693 Reassigns benefits to 1 organization
I20190122002148 DE Practitioner - Physician Assistant 5193062693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Plastic Surgery P CGroup PAC ID 2769469097, shared by 2 NPIs, 7 clinicians

Practice addresses (Care Compare)

124 N Main St
Suite D
Berlin, MD 21811-1060
Phone (410) 546-0464

30265 Commerce Dr
Unit 208
Millsboro, DE 19966-3728
Phone (302) 663-0119

314 W Carroll St
Suite 1
Salisbury, MD 21801-5409
Phone (410) 546-0464

Hospital & facility affiliations

  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0002833MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Plastic Surgery P C CurrentSince Dec 10, 2018 Accepting new patients
Peninsula Plastic Surgery P.C. CurrentSince Dec 9, 2018 Accepting new patients

Locations

30265 Commerce Dr
Unit 208
Millsboro, DE 19966
Phone (302) 663-0119

124 N Main St
Ste D
Berlin, MD 21811
Phone (410) 546-0464

314 W Carroll St
Ste 1
Salisbury, MD 21801
Phone (410) 546-0464

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 1

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": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1801363262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 W CARROLL ST STE 1",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015409",
            "telephone_number": "410-546-0464",
            "fax_number": "410-546-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W CARROLL ST STE 1",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015409",
            "telephone_number": "410-546-0464",
            "fax_number": "410-546-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISETT",
        "first_name": "JAYME",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0002833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.