Active NPI
Jessica Lynn Sammaritano, NP
- Nurse Practitioner
- Bryn Mawr, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP022811
- Practice address
- 130 S. Bryn Mawr Avenue (Bryn Mawr Hospital)
Bryn Mawr, PA 19010 - Phone
- (484) 337-3000
- NPI assigned
- Feb 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP022811 | PA | Primary |
Addresses
Primary practice location
130 S. Bryn Mawr Avenue (Bryn Mawr Hospital)
Bryn Mawr, PA 19010
Mailing address
219 Clover Lane
Phoenixville, PA 19460
Phone (610) 864-4947
Other names 1
- Jessica Lynn McDonald
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
255 W Lancaster Ave
Paoli, PA 19301-1763
Phone (484) 337-4097
Hospital & facility affiliations
- Bryn Mawr Hospital
- Main Line Hospital Lankenau
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP022811 | PA | MD | Nurse Practitioner |
| SP023811 | PA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Healthcare | Nurse Practitioner | Current | Accepting new patients |
Locations
830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200
130 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (484) 337-3000
3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530
255 W Lancaster Ave
Paoli, PA 19301
Phone (484) 337-4286
100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583
Organizations & group practices 1
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 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wynnewood, PA
- NPI 1245335629
-
- General Acute Care Hospital
- Bryn Mawr, PA
- NPI 1508971441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1891387759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 CLOVER LANE",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "19460",
"telephone_number": "610-864-4947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 S. BRYN MAWR AVENUE (BRYN MAWR HOSPITAL)",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "19010",
"telephone_number": "484-337-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMMARITANO",
"first_name": "JESSICA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-10",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP022811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "MCDONALD",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bryn Mawr, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.