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JUDITH JONES
NPI 1295834307
Nurse Practitioner - Acute Care in New Castle, PA

Active since September 22, 2006PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
1211 WILMINGTON AVE, GROUND FLOOR, NEW CASTLE, PA 16105(724) 698-1830 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2021, Jan 18, 2017 (2 updates tracked since 2017).

About Judith Jones NPPES

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

JUDITH JONES (NPI 1295834307) is an individual acute care provider in New Castle, Pennsylvania, licensed in Pennsylvania (VP005693M) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Upmc Jameson, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1295834307
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJUDITH JONES
Location Address1211 WILMINGTON AVE, GROUND FLOORNew Castle, PA 16105-2516
Mailing Address519 W Clayton St, Ground FloorNew Castle, PA 16102-1227
Phone(724) 698-1830
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateSeptember 22, 2006
Last NPPES UpdateMarch 25, 20212 updates tracked since enumeration
✔ NPI 1295834307 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 · VP005693M
1211 WILMINGTON AVE, New Castle, PA 16105
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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

Judith Jones 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 ID7810957404
PECOS Enrollment IDI20041018000982
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
166 services93 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
62 services62 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
14 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Jameson

Acute Care Hospitals · New Castle, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390016
Location1211 Wilmington AvenueNew Castle, PA 16105 · Lawrence County
Emergency services

Upmc Horizon

Acute Care Hospitals · Greenville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390178
Location110 North Main StreetGreenville, PA 16125 · Mercer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16105 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

KIMBERLY ROTUNNA RN
Internal Medicine (Obesity Medicine)
1211 WILMINGTON AVE
NEW CASTLE, PA 16105
Lawrence County (724) 674-6052
UPMC COMMUNITY PROVIDER SERVICES
Pharmacy (Community/Retail Pharmacy)
1211 WILMINGTON AVE
NEW CASTLE, PA 16105
Lawrence County (724) 656-4650
MARCOS GUILHERME CUNHA CRUVINEL MD
Anesthesiology
1211 WILMINGTON AVE
NEW CASTLE, PA 16105
Lawrence County (724) 658-9001
LINDA VAN EMAN NP-C
Nurse Practitioner (Family)
1211 WILMINGTON AVE
NEW CASTLE, PA 16105
Lawrence County (724) 658-9001
AMY AULT PHARMD
Pharmacist
1211 WILMINGTON AVE
NEW CASTLE, PA 16105
Lawrence County (724) 656-4650
ERIKA THOMAS PA-C
Physician Assistant (Medical)
1211 WILMINGTON AVE
NEW CASTLE, PA 16105
Lawrence County (724) 658-9001
NEW CASTLE INFECTIOUS DISEASES LLC
Internal Medicine (Infectious Disease)
1211 WILMINGTON AVE, JAMESON HOSPITAL
NEW CASTLE, PA 16105
Lawrence County (724) 933-0193
UPMC JAMESON
Psychiatric Unit
1211 WILMINGTON AVE
NEW CASTLE, PA 16105
Lawrence County (724) 656-4100

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 Judith Jones's NPI number?

The NPI number for Judith Jones is 1295834307. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Judith Jones located?

Judith Jones practices at 1211 Wilmington Ave Ground Floor, New Castle, PA 16105. The listed phone number is (724) 698-1830.

What is Judith Jones's specialty?

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

Is Judith Jones enrolled in Medicare?

Yes. Judith Jones 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.

Is Judith Jones affiliated with any hospitals?

According to CMS data, Judith Jones is affiliated with Upmc Jameson and Upmc Horizon.

When was this NPI record last updated?

The NPPES record for Judith Jones was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.