Individual provider Active NPI

Jessica Ann Maher, PA-C

  • Medical Physician Assistant
  • Gilbertsville, PA
National Provider Identifier
1841347564
Registry record updated Apr 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA052231 Issued in PA
Practice address
1808 Swamp Pike
Gilbertsville, PA 19525-9307
Phone
(610) 400-8310
Fax
(610) 400-8311
NPI assigned
Jan 4, 2007
Last updated
Apr 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA052231 PA Primary

Addresses

Primary practice location

1808 Swamp Pike
Gilbertsville, PA 19525-9307

Mailing address

1808 Swamp Pike
Gilbertsville, PA 19525-9307
Phone (610) 400-8310

Other names 1

  • Miss Jessica Ann Royer Former name

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
I20190603001043 PA Practitioner - Physician Assistant 7517290703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singh PhysiciansGroup PAC ID 6002178902, 7 clinicians

Practice addresses (Care Compare)

1808 Swamp Pike
Suite 200
Gilbertsville, PA 19525-9307
Phone (610) 400-8310

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA052231PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Singh Physicians Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555113600000",
    "number": "1841347564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 SWAMP PIKE",
            "city": "GILBERTSVILLE",
            "state": "PA",
            "postal_code": "195259307",
            "telephone_number": "610-400-8310",
            "fax_number": "610-400-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 SWAMP PIKE",
            "city": "GILBERTSVILLE",
            "state": "PA",
            "postal_code": "195259307",
            "telephone_number": "610-400-8310",
            "fax_number": "610-400-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHER",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2019-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA052231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "ROYER",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gilbertsville, PA

Sources for this page

Verify at the official NPI Registry.