Jessica McCullough, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

OA004756 Issued in PA

Practice address

1030 3Rd Avenue
New Brighton, PA 15066

Phone

(724) 770-4050

NPI assigned

Feb 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heritage Valley Multispecialty Group IncGroup PAC ID 0042105678, 229 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Heritage Valley Beaver Hospital, Beaver, PA, CCN 390036

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessicademarco@hvhs.allscriptsdirect.net

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.

• Heritage Valley Multispecialty Group, Inc.

  • Internal Medicine Physician
  • Beaver, PA
  • NPI 1528015401
  Medicare reassignment Care Compare group
• Heritage Valley Multispecialty Group, Inc

  • Orthopaedic Surgery Physician
  • Beaver, PA
  • NPI 1073089918
  NPD
• Health Associates of Western Pennsylvania P C

  • Family Medicine Physician
  • Pittsburgh, PA
  • NPI 1780776294

  Physician Assistant

  NPD (past)
• Private Physicians Medical Practice, LLC

  • Family Medicine Physician
  • Pittsburgh, PA
  • NPI 1619489283
  NPD (past)

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

• Valley Medical Facilities Inc

  • General Acute Care Hospital
  • Beaver, PA
  • NPI 1063422053
  Care Compare affiliation
• Valley Medical Facilities, Inc.

  • General Acute Care Hospital
  • Beaver Falls, PA
  • NPI 1306989983
  Care Compare affiliation
• Valley Medical Facilities, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sewickley, PA
  • NPI 1528101458

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1831654367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 THIRD AVENUE",
            "city": "NEW BRIGHTON",
            "state": "PA",
            "postal_code": "15066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 3RD AVENUE",
            "city": "NEW BRIGHTON",
            "state": "PA",
            "postal_code": "15066",
            "telephone_number": "724-770-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "JESSICA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2022-07-11",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA004756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Lee Linko, LPC
• William E. Logan, D.M.D.
• Richard D Mason, DC
• Heather M McCarthy, MS
• Maranda McClintock
• Jonathan Ryan McCullough
• McGuire Memorial
• New Brighton Area School District
• Kayla Niba
• Chad David Ours, CPHT

• Physician Assistant in New Brighton, PA
• Providers in New Brighton, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.