BRIAN JONES FNP-C
NPI 1518408756
Nurse Practitioner - Family in Waynesburg, PA

Active since March 20, 2017PECOS Enrolled
236 ELM DR, STE. 101, WAYNESBURG, PA 15370(724) 627-0926 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 29, 2021, Mar 22, 2017 (2 updates tracked since 2017).

About Brian Jones Fnp-c NPPES

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

BRIAN JONES FNP-C (NPI 1518408756) is an individual family provider in Waynesburg, Pennsylvania, licensed in Pennsylvania (SP017307) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518408756
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameBRIAN JONESCredential: FNP-C
Location Address236 ELM DR, STE. 101Waynesburg, PA 15370-8265
Mailing Address236 Elm Dr, Ste 101Waynesburg, PA 15370-8265 · (724) 833-5089
Sole ProprietorYes
Enumeration DateMarch 20, 2017
Last NPPES UpdateJuly 29, 20212 updates tracked since enumeration
NPPES CertifiedJuly 29, 2021
✔ NPI 1518408756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP017307
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License SP017307 (PA)
236 ELM DR, Waynesburg, PA 15370

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Jones Fnp-c 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 Reassignment

Medicare enrollment records show Brian Jones reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
2175 MCCLELLANDTOWN RD, SUITE 201
Masontown, PA 15461
  • Reassigned Medicare billing, Pennsylvania and West Virginia enrollments
  • Also billed through NPI 1437823044 (West Virginia)
  • 398 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.

Areas of Expertise CMS Part B claims 2

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.
79 services62 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.
63 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15370 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.

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.

Psychologist (Clinical)
236 ELM DR
WAYNESBURG, PA 15370
Nurse Practitioner (Family)
236 ELM DR, SUITE 101
WAYNESBURG, PA 15370
Clinic/Center (Mental Health (Including Community Mental Health Center))
236 ELM DR, SUITE 101
WAYNESBURG, PA 15370
Clinic/Center (Federally Qualified Health Center (FQHC))
236 ELM DR, SUITE 101
WAYNESBURG, PA 15370
Family Medicine
236 ELM DR
WAYNESBURG, PA 15370
Anesthesiology (Pain Medicine)
236 ELM DR, SUITE 105
WAYNESBURG, PA 15370
Orthopaedic Surgery
236 ELM DR, STE 102
WAYNESBURG, PA 15370
Clinic/Center (Federally Qualified Health Center (FQHC))
236 ELM DR
WAYNESBURG, PA 15370

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 Brian Jones's NPI number?

The NPI number for Brian Jones is 1518408756. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Where is Brian Jones located?

Brian Jones practices at 236 Elm Dr Ste. 101, Waynesburg, PA 15370. The listed phone number is (724) 627-0926.

What is Brian Jones's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Brian Jones enrolled in Medicare?

Yes. Brian Jones is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brian Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Jones reassigns Medicare benefits to Fayette Physician Network Inc (Masontown, PA). The 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 Brian Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Jones accept?

Health plans from CareSource list Brian Jones 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 Brian Jones was last updated on July 29, 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.