Active NPI
Jessica Beck, PA-C
- Physician Assistant
- Trenton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00360300
- Practice address
- 750 Brunswick Ave
Trenton, NJ 08638-4143 - Phone
- (609) 394-6000
- NPI assigned
- Mar 16, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00360300 | NJ | Primary |
| Physician Assistant | 363A00000X | MA057450 | PA |
Addresses
Primary practice location
750 Brunswick Ave
Trenton, NJ 08638-4143
Mailing address
750 Brunswick Ave
Trenton, NJ 08638-4143
Phone (636) 675-2698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170620002781 | GA | Practitioner - Physician Assistant | 9335467372 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Drexel University College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellstar Medical Group LLC
Practice addresses (Care Compare)
120 Greystone Power Blvd
Dallas, GA 30157-8297
2890 Delk Serd
Marietta, GA 30067-5326
Phone (770) 955-8620
3980 Jiles Rd NW
Kennesaw, GA 30144-1109
Phone (678) 504-0100
4480 N Cooper Lake Rd SE
Smyrna, GA 30082-4623
4480 N Cooper Lake Serd
Smyrna, GA 30082-4623
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
780 Church St NE
Marietta, GA 30060-7269
8901 Stonebridgde Blvd
Suite 100
Douglasville, GA 30134-2253
Phone (943) 202-7100
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.94 of 100
- Quality
- 83.37
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008221 | GA | MD | Obstetrics & Gynecology Physician |
| 25MP00360300 | NJ | MD | Physician Assistant |
| MA057450 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients |
Locations
3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Family Medicine Physician
- Canton, GA
- NPI 1346593316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426550400000",
"number": "1922491950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 BRUNSWICK AVE",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086384143",
"telephone_number": "636-675-2698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 BRUNSWICK AVE",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086384143",
"telephone_number": "609-394-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "JESSICA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-16",
"last_updated": "2015-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00360300",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA057450",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.