Individual provider Active NPI

Jessica Ann Fox, PA

  • Physician Assistant
  • Elizabethtown, PA
National Provider Identifier
1821613589
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA061724 Issued in PA
Practice address
432 Cloverleaf Rd
Elizabethtown, PA 17022-9320
Phone
(717) 544-6350
NPI assigned
Jun 9, 2020
Last updated
Mar 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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 MA061724 PA Primary

Addresses

Primary practice location

432 Cloverleaf Rd
Elizabethtown, PA 17022-9320

Mailing address

432 Cloverleaf Rd
Elizabethtown, PA 17022-9320
Phone (717) 544-6350

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
I20201130000899 PA Practitioner - Physician Assistant 0547671398 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

1701 Cornwall Rd
Lebanon, PA 17042-7480

2118 Spring Valley Rd
Lancaster, PA 17601-2427
Phone (215) 615-2222

3045 Marietta Ave
Lancaster, PA 17601-1321
Phone (717) 299-4644

418 Cloverleaf Rd
Elizabethtown, PA 17022-9320
Phone (717) 627-7696

426 Cloverleaf Rd
Elizabethtown, PA 17022-9320
Phone (717) 393-1900

432 Cloverleaf Rd
Elizabethtown, PA 17022-9320
Phone (717) 544-6350

51 Peters Rd
Lititz, PA 17543-7685

540 N Duke St
PM LGHP Urgent Care Duke St
Lancaster, PA 17602-2374
Phone (717) 544-6111

895 E Main St
Ephrata, PA 17522-2545

950 S Octorara Trail
Parkesburg, PA 19365-2100

950 S Octorara TRL
Parkesburg, PA 19365-2100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA061724PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Apr 24, 2023 Accepting new patients
Lancaster General Medical Group CurrentSince Apr 24, 2023 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Dec 7, 2020 Accepting new patients
The Milton S Hershey Medical Center Physicians Group CurrentSince Dec 7, 2020 Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

432 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 544-6350

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

2118 Spring Valley Rd
Lancaster, PA 17601
Phone (215) 615-2222

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

941 Park Dr
Palmyra, PA 17078
Phone (717) 531-8814

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1821613589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 CLOVERLEAF RD",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170229320",
            "telephone_number": "717-544-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 CLOVERLEAF RD",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170229320",
            "telephone_number": "717-544-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, PA

Sources for this page

Verify at the official NPI Registry.