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JESSICA FETCHICK
NPI 1447010889
Counselor - Professional in Moosic, PA

Active since March 21, 2024PECOS EnrolledAccepts Medicare Assignment
340 MONTAGE MOUNTAIN RD, MOOSIC, PA 18507(570) 346-3686(570) 558-6838 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Fetchick NPPES

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

JESSICA FETCHICK (NPI 1447010889) is an individual professional provider in Moosic, Pennsylvania, licensed in Pennsylvania (PC016876) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1447010889
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJESSICA FETCHICK
Location Address340 MONTAGE MOUNTAIN RDMoosic, PA 18507-1707
Mailing Address340 Montage Mountain Rd # AMoosic, PA 18507-1707 · (570) 346-3686 · Fax (570) 558-6838
Phone(570) 346-3686
Fax(570) 558-6838
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 21, 2024
NPPES CertifiedMarch 21, 2024
✔ NPI 1447010889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC016876
340 MONTAGE MOUNTAIN RD, Moosic, PA 18507
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Jessica Fetchick 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 ID5597208405
PECOS Enrollment IDI20240620001326
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.

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.

MRS. AMANDA LYN FIDIAM PA-C
Physician Assistant (Medical)
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Lackawanna County (570) 346-3686
JESSICA MCDONOUGH MS, NCC, LPC
Counselor (Professional)
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Lackawanna County (570) 346-3686
FRANCIELE DACRUZ LAPC
Counselor (Professional)
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Lackawanna County (570) 346-3686
MR. JOSEPH FEISTL PA
Physician Assistant (Medical)
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Lackawanna County (570) 346-3686
LIZA ROSE BEVIGLIA
Physician Assistant
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Lackawanna County (570) 346-3686
MATTHEW VINNACOMBE PA-C
Physician Assistant (Medical)
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Lackawanna County (570) 346-3686
DR. KRISTIE MARIE NARDELL M.D.
Psychiatry & Neurology (Psychiatry)
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Lackawanna County (570) 346-3686
MARIE T ZEDALIS CRNP
Nurse Practitioner (Family)
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Lackawanna County (570) 346-3686

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 Jessica Fetchick's NPI number?

The NPI number for Jessica Fetchick is 1447010889. It was assigned to this individual provider in the NPPES registry on March 21, 2024.

Where is Jessica Fetchick located?

Jessica Fetchick practices at 340 Montage Mountain Rd, Moosic, PA 18507. The listed phone number is (570) 346-3686.

What is Jessica Fetchick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jessica Fetchick enrolled in Medicare?

Yes. Jessica Fetchick 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 Jessica Fetchick accept?

Health plans from Providence Health Plan list Jessica Fetchick 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.

When was this NPI record last updated?

The NPPES record for Jessica Fetchick was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.