Individual provider Active NPI

Jamison Andrea Wagaman, PA-C

  • Surgical Physician Assistant
  • York, PA
National Provider Identifier
1851727655
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA056467 Issued in PA
Practice address
1855 Powder Mill Rd
York, PA 17402
Phone
(717) 848-4800
Fax
(717) 741-9867
NPI assigned
Sep 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA056467 PA
Medical Physician Assistant 363AM0700X MA056467 PA
Surgical Physician Assistant 363AS0400X MA056467 PA Primary

Addresses

Primary practice location

1855 Powder Mill Rd
York, PA 17402

Mailing address

1861 Powder Mill Road
Attn Medical Staff Office
York, PA 17402-4723
Phone (717) 718-2041

Other practice location 1

470 Eisenhower Drive
Hanover, PA 17331-5221
Phone (717) 633-0031

Other names 1

  • Jamison Andrea Fiedor Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jwagaman@osshealth.medentdirect.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
I20131212000424 PA Practitioner - Physician Assistant 2365679677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oss Orthopaedic Hospital LLCGroup PAC ID 8729110747, 125 clinicians

Practice addresses (Care Compare)

1665 Roosevelt Ave
York, PA 17408-8549
Phone 71784848006867

1855 Powder Mill Rd
York, PA 17402-4723
Phone 71784848006867

1861 Powder Mill Rd
York, PA 17402-4723
Phone 71784848006867

Hospital & facility affiliations

  • Oss Orthopaedic Hospital Hospital, York, PA, CCN 390325
  • Upmc Hanover Hospital, Hanover, PA, CCN 390233
  • Wellspan York Hospital Hospital, York, PA, CCN 390046
  • Penn State Health Hampden Medical Center Hospital, Enola, PA, CCN 390336
  • Gettysburg Hospital Hospital, Gettysburg, PA, CCN 390065

Merit-based Incentive Payment System (MIPS)

Final score
95.65 of 100Reported as group
Quality
99.23
Promoting interoperability
100
Improvement activities
40
Cost
86.28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA056467PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oss Orthopaedic Hospital, LLC Physician Assistant CurrentSince Dec 29, 2017 Accepting new patients
Oss Orthopaedic Hospital, LLC CurrentSince Dec 29, 2017 Accepting new patients
Wellspan Medical Group Past Accepting new patients
Oss Orthopaedic Hospital, LLC Past Accepting new patients

Locations

1926 Good Hope Rd
Enola, PA 17025

20 Expedition Trl
Ste 110B
Gettysburg, PA 17325
Phone (717) 339-0700

470 Eisenhower Dr
Hanover, PA 17331
Phone (717) 633-0031

856 Century Dr
Mechanicsburg, PA 17055
Phone (717) 697-3304

1665 Roosevelt Ave
York, PA 17408
Phone (717) 747-8350

1861 Powder Mill Rd
Ofc
York, PA 17402
Phone (717) 718-2000

1861 Powder Mill Rd
York, PA 17402
Phone (717) 718-2000

1855 Powder Mill Rd
York, PA 17402

Organizations & group practices 4

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 11

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": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1851727655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 POWDER MILL ROAD",
            "address_2": "ATTN MEDICAL STAFF OFFICE",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024723",
            "telephone_number": "717-718-2041",
            "fax_number": "717-741-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 POWDER MILL RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "17402",
            "telephone_number": "717-848-4800",
            "fax_number": "717-741-9867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "470 Eisenhower Drive",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173315221",
            "country_code": "US",
            "telephone_number": "717-633-0031",
            "fax_number": "717-630-1085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGAMAN",
        "first_name": "JAMISON",
        "middle_name": "ANDREA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056467",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA056467",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA056467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwagaman@osshealth.medentdirect.com",
            "affiliation": "N",
            "address_1": "1855 Powder Mill Rd",
            "city": "York",
            "state": "PA",
            "country_code": "US",
            "postal_code": "17402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JAMISON",
            "last_name": "FIEDOR",
            "middle_name": "ANDREA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.