JADE LYNN HOLLEY PAC
NPI 1134421183
Physician Assistant - Medical in Moosic, PA

Q: What is Jade Holley's NPI number?

The NPI number for Jade Holley is 1134421183. It was assigned to this individual provider in the NPPES registry on November 24, 2010.

Q: What is Jade Holley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jade Holley was last updated on January 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since November 24, 2010PECOS EnrolledAccepts Medicare Assignment

532 MAIN ST, SUITE 1, MOOSIC, PA 18507(570) 471-3569 Get Directions Write a Review

NPPES record last updated: January 3, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2017, Nov 14, 2016 (2 updates tracked since 2016).

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About Jade Lynn Holley Pac NPPES

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

JADE LYNN HOLLEY PAC (NPI 1134421183) is an individual medical provider in Moosic, Pennsylvania, licensed in Pennsylvania (MA054639) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS, is affiliated with Regional Hospital Of Scranton, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1134421183

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameJADE LYNN HOLLEYCredential: PAC

Location Address532 MAIN ST, SUITE 1Moosic, PA 18507-1001

Mailing Address532 Main St, Suite 1Moosic, PA 18507-1001 · (570) 471-3569

Phone(570) 471-3569

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateNovember 24, 2010

Last NPPES UpdateJanuary 3, 20172 updates tracked since enumeration

✔ NPI 1134421183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in PA · MA054639

532 MAIN ST, Moosic, PA 18507

Open in Google Maps ↗

Other Identifiers 2

Medicaid103213688-0001PA

Medicare PIN410559J67PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Jade Lynn Holley Pac 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 ID6507085065

PECOS Enrollment IDI20150521000868

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 3

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.

207 services116 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

58 services46 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Regional Hospital Of Scranton

Acute Care Hospitals · Scranton, PA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number390237

Location746 Jefferson AvenueScranton, PA 18501 · Lackawanna County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 8

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

TAYLOR OAKES

Counselor (Mental Health)

532 MAIN ST
MOOSIC, PA 18507

Lackawanna County (570) 285-4878

MARK LYONS DO

Internal Medicine

532 MAIN ST, SUITE 1
MOOSIC, PA 18507

Lackawanna County (570) 471-3569

NORTHEAST FOOT & ANKLE ASSOCIATES, LLC.

Podiatrist (Foot & Ankle Surgery)

532 MAIN ST, SUITE #2
MOOSIC, PA 18507

Lackawanna County (570) 457-6540

MS. JUSTINE M METCHO DPM

Podiatrist (Foot & Ankle Surgery)

532 MAIN ST, SUITE #2
MOOSIC, PA 18507

Lackawanna County (570) 457-6540

GOLDEN CARE FOOT AND ANKLE SURGERY

Podiatrist (Foot & Ankle Surgery)

532 MAIN ST, SUITE # 2
MOOSIC, PA 18507

Lackawanna County (570) 457-6540

MOOSIC HOSE CO AMBULANCE

Ambulance

532 MAIN ST
MOOSIC, PA 18507

Lackawanna County (570) 457-9194

KENNETH J SEBASTIANELLI MD

Internal Medicine

532 MAIN ST, SUITE 1
MOOSIC, PA 18507

Lackawanna County (570) 471-7044

GEISINGER CLINIC

Family Medicine

532 MAIN ST, STE 1
MOOSIC, PA 18507

Lackawanna County (570) 471-3569

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 Jade Holley's NPI number?

The NPI number for Jade Holley is 1134421183. It was assigned to this individual provider in the NPPES registry on November 24, 2010.

Where is Jade Holley located?

Jade Holley practices at 532 Main St Suite 1, Moosic, PA 18507. The listed phone number is (570) 471-3569.

What is Jade Holley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jade Holley enrolled in Medicare?

Yes. Jade Holley 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 Jade Holley accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Jade Holley 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 Jade Holley affiliated with any hospitals?

According to CMS data, Jade Holley is affiliated with Regional Hospital Of Scranton.

When was this NPI record last updated?

The NPPES record for Jade Holley was last updated on January 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.