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JASON LOUIS PHILLIPS CRNP
NPI 1184202004
Nurse Practitioner - Acute Care in Hawley, PA

Active since March 31, 2021PECOS Enrolled
2531 ROUTE 6 STE 3, HAWLEY, PA 18428(570) 855-8074 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 31, 2023, Mar 31, 2021 (2 updates tracked since 2021).

About Jason Louis Phillips Crnp NPPES

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

JASON LOUIS PHILLIPS CRNP (NPI 1184202004) is an individual acute care provider in Hawley, Pennsylvania, licensed in Pennsylvania (SP022922) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184202004
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameJASON LOUIS PHILLIPSCredential: CRNP
Location Address2531 ROUTE 6 STE 3Hawley, PA 18428-7031
Mailing Address2531 Route 6 Ste 3Hawley, PA 18428-7031 · (570) 229-0774
Phone(570) 855-8074
Sole ProprietorNo
Enumeration DateMarch 31, 2021
Last NPPES UpdateJune 30, 20232 updates tracked since enumeration
NPPES CertifiedJune 30, 2023
✔ NPI 1184202004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in PA · SP022922
2531 ROUTE 6 STE 3, Hawley, PA 18428
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Louis Phillips Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jason Phillips reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wayne Memorial Hospital
6.6 mi
General Acute Care Hospital
601 PARK ST
Honesdale, PA 18431
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 104 clinicians in this Medicare group
NPI 1124026182 (570) 253-8100
Clinical Health Care Associates Of New Jersey, PC
75 mi
Otolaryngology
719 US HIGHWAY 206 STE 101
Hillsborough, NJ 08844
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 171 clinicians in this Medicare group
NPI 1962977249 (908) 271-2102

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18428 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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 Jason Phillips's NPI number?

The NPI number for Jason Phillips is 1184202004. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Where is Jason Phillips located?

Jason Phillips practices at 2531 Route 6 Ste 3, Hawley, PA 18428. The listed phone number is (570) 855-8074.

What is Jason Phillips's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jason Phillips enrolled in Medicare?

Yes. Jason Phillips is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jason Phillips's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Phillips reassigns Medicare benefits to 2 organizations: Wayne Memorial Hospital (Honesdale, PA) and Clinical Health Care Associates Of New Jersey, PC (Hillsborough, NJ). 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 Jason Phillips'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 Jason Phillips was last updated on June 30, 2023. 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.