JILL C JARVIS PA NPI 1750533717

NPI Information

NPI: 1750533717
Provider Name: JILL C JARVIS, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
200 E CHESTNUT ST STE 303
LOUISVILLE, KY
ZIP 40202
Phone: (502) 629-5552
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Jill C Jarvis, PA is a medical physician assistant in Louisville, KY with 20 years of experience. Jill C Jarvis, PA NPI is 1750533717. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 E CHESTNUT ST STE 303
LOUISVILLE, KY
ZIP 40202-831
Phone: (502) 629-5552
Fax: (502) 629-3132

The NPI 1750533717 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Insertion of needle into vein for collection of blood sample (HCPCS:36415)

The enumeration date for this NPI number is 10/21/2008 and was last updated on 2/11/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA864	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000601231	OTHER	KENTUCKY	ANTHEM- NORTON INPATIENT SPECIALISTS
2	50023389	OTHER	KENTUCKY	PASSPORT- NORTON INPATIENT SPECIALISTS
3	000023036K	OTHER	KENTUCKY	HUMANA- NORTON INPATIENT SPECIALISTS
4	7100089510	MEDICAID	KENTUCKY
5	K080420	MEDICARE PIN	KENTUCKY
6	3706976000	OTHER	KENTUCKY	PASSPORT ADVANTAGE- NORTON INPATIENT SPECIALISTS
7	00533095	OTHER	KENTUCKY	MEDICARE- NORTON INPATIENT SPECIALISTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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