JAYA RAWLA CNP
NPI 1043783608
Nurse Practitioner - Gerontology in Springfield, MA

Active since January 07, 2019PECOS EnrolledAccepts Medicare Assignment
380 PLAINFIELD ST, SPRINGFIELD, MA 01107(413) 794-4458(413) 794-5131 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 29, 2022, Jan 21, 2021, Jan 7, 2019 (3 updates tracked since 2019).

About Jaya Rawla Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAYA RAWLA CNP (NPI 1043783608) is an individual gerontology provider in Springfield, Massachusetts, licensed in Massachusetts (RN2328557) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, is affiliated with Baystate Medical Center, and is a graduate of University Of Massachusetts Medical School (2021).

NPPES Registry Identity

NPI1043783608
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameJAYA RAWLACredential: CNP
Location Address380 PLAINFIELD STSpringfield, MA 01107-1524
Mailing Address280 Chestnut St Fl 2Springfield, MA 01199-1001 · (413) 794-5700
Fax(413) 794-5131
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2021
Enumeration DateJanuary 7, 2019
Last NPPES UpdateAugust 29, 20223 updates tracked since enumeration
NPPES CertifiedAugust 29, 2022
NPI 1043783608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in MA · RN2328557
Also ListedRegistered NurseTaxonomy 163W00000X · License RN2328557 (MA)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License RN2328557 (MA)
380 PLAINFIELD ST, Springfield, MA 01107

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jaya Rawla Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446665632
PECOS Enrollment IDI20210222001115
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
23 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baystate Medical Center

Acute Care Hospitals · Springfield, MA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220077
Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
380 PLAINFIELD ST
SPRINGFIELD, MA 01107
Nurse Practitioner (Family)
380 PLAINFIELD ST
SPRINGFIELD, MA 01107
Physician Assistant
380 PLAINFIELD ST
SPRINGFIELD, MA 01107
Nurse Practitioner (Family)
380 PLAINFIELD ST
SPRINGFIELD, MA 01107
Pharmacy (Clinic Pharmacy)
380 PLAINFIELD ST
SPRINGFIELD, MA 01107
Internal Medicine
380 PLAINFIELD ST
SPRINGFIELD, MA 01107
Pediatrics
380 PLAINFIELD ST
SPRINGFIELD, MA 01107
Registered Nurse (Case Management)
380 PLAINFIELD ST
SPRINGFIELD, MA 01107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaya Rawla's NPI number?

The NPI number for Jaya Rawla is 1043783608. It was assigned to this individual provider in the NPPES registry on January 7, 2019.

Where is Jaya Rawla located?

Jaya Rawla practices at 380 Plainfield St, Springfield, MA 01107. The listed phone number is (413) 794-4458.

What is Jaya Rawla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Jaya Rawla enrolled in Medicare?

Yes. Jaya Rawla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jaya Rawla accept?

Health plans from Anthem Blue Cross and Blue Shield list Jaya Rawla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jaya Rawla affiliated with any hospitals?

According to CMS data, Jaya Rawla is affiliated with Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Jaya Rawla was last updated on August 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.