JORDANIA GRULLON PA-C
NPI 1679298400
Physician Assistant in Wilkes Barre, PA

Q: What is Jordania Grullon's NPI number?

The NPI number for Jordania Grullon is 1679298400. It was assigned to this individual provider in the NPPES registry on October 4, 2022.

Q: What is Jordania Grullon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jordania Grullon was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 October 04, 2022PECOS EnrolledAccepts Medicare Assignment

78.33/100

CMS Quality Rating

175 S WILKES BARRE BLVD, WILKES BARRE, PA 18702(570) 208-6281(570) 208-6282 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jordania Grullon Pa-c NPPES

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

JORDANIA GRULLON PA-C (NPI 1679298400) is an individual physician assistant in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MA064032) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital - Hazleton, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1679298400

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJORDANIA GRULLONCredential: PA-C

Location Address175 S WILKES BARRE BLVDWilkes Barre, PA 18702-5040

Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 208-6281 · Fax (570) 208-6282

Phone(570) 208-6281

Fax(570) 208-6282

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateOctober 4, 2022

Last NPPES UpdateJuly 17, 2025

NPPES CertifiedJuly 17, 2025

✔ NPI 1679298400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in PA · MA064032

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

175 S WILKES BARRE BLVD, Wilkes Barre, PA 18702

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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

Jordania Grullon Pa-c 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 ID2365819786

PECOS Enrollment IDI20221027001795

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 4

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 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.

51 services51 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

38 services38 patients

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.

35 services35 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Lehigh Valley Hospital - Hazleton

Acute Care Hospitals · Hazleton, PA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number390185

Location700 East Broad StreetHazleton, PA 18201 · Luzerne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18702 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

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

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.

78.33/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

87.28

Improvement Activities

Cost

42.01

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. PATRICIA ANN WASCAVAGE RPH, MBA

Pharmacist (Pharmacotherapy)