JESSIE S. HARTMAN M.S.W
NPI 1104051671
Counselor - Mental Health in Williamsport, PA
About Jessie S. Hartman M.s.w NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSIE S. HARTMAN M.S.W (NPI 1104051671) is an individual mental health provider in Williamsport, Pennsylvania and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jessie S. Hartman M.s.w 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jessie Hartman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Williamsport, PA 17701
- Reassigned Medicare billing, Pennsylvania enrollment
- 4,429 clinicians in this Medicare group
Bloomsburg, PA 17815
- Reassigned Medicare billing, Pennsylvania enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jessie Hartman's NPI number?
The NPI number for Jessie Hartman is 1104051671. It was assigned to this individual provider in the NPPES registry on May 27, 2009.
Where is Jessie Hartman located?
Jessie Hartman practices at Diakon Family Life Services 435 W. Fourth Street, Williamsport, PA 17701. The listed phone number is (570) 322-7873.
What is Jessie Hartman's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jessie Hartman enrolled in Medicare?
Yes. Jessie Hartman 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.
Which organizations bill Medicare for Jessie Hartman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessie Hartman reassigns Medicare benefits to 2 organizations: Geisinger Clinic (Williamsport, PA) and Willow Tree Wellness & Counseling, LLC (Bloomsburg, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessie Hartman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jessie Hartman was last updated on May 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Jessie S. Hartman, M.S.W · NPI 1104051671
Mental Health provider in Williamsport, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 27, 2009.
## Identity
- **NPI:** 1104051671 (Entity type: Individual)
- **Enumerated:** May 27, 2009
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** DIAKON FAMILY LIFE SERVICES, 435 W. FOURTH STREET, Williamsport, PA 17701
- **Phone:** (570) 322-7873 · **Fax:** (570) 322-8026
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Geisinger Clinic (NPI 1619482536, Williamsport, PA); Willow Tree Wellness & Counseling, LLC (NPI 1649521584, Bloomsburg, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** May 28, 2009
- **Other identifiers:** Medicaid 1007777400036 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1104051671) · Data from the CMS NPPES public registry.