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MISS JESSICA C PRUTSMAN
NPI 1811578917
Counselor - Professional in Elkland, PA

Active since April 20, 2021PECOS Enrolled
103 FORESTVIEW AVE, ELKLAND, PA 16920(814) 258-5117 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Jessica C Prutsman NPPES

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

MISS JESSICA C PRUTSMAN (NPI 1811578917) is an individual professional provider in Elkland, Pennsylvania, licensed in Pennsylvania (PC016293) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811578917
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMISS JESSICA C PRUTSMAN
Location Address103 FORESTVIEW AVEElkland, PA 16920-1403
Mailing Address40 W Wellsboro StMansfield, PA 16933-1411 · (570) 662-1945
Phone(814) 258-5117
Sole ProprietorNo
Enumeration DateApril 20, 2021
Last NPPES UpdateJanuary 17, 2024
NPPES CertifiedJanuary 17, 2024
✔ NPI 1811578917 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 · PC016293
103 FORESTVIEW AVE, Elkland, PA 16920
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Other Names 1

Former Name (1)Miss Jessica C Carr

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Jessica C Prutsman 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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTH PENN COMPREHENSIVE HEALTH SERVICES
Clinic/Center (Federally Qualified Health Center (FQHC))
103 FORESTVIEW AVE
ELKLAND, PA 16920
Tioga County (814) 258-5117
MR. JOSEPH ALEXANDER WHITE PA-C
Physician Assistant (Medical)
103 FORESTVIEW AVE
ELKLAND, PA 16920
Tioga County (814) 258-5117
TODD A RUDY PA-C
Physician Assistant
103 FORESTVIEW AVE
ELKLAND, PA 16920
Tioga County (814) 258-5117
JESSICA A ZENGERLE CRNP
Nurse Practitioner (Family)
103 FORESTVIEW AVE
ELKLAND, PA 16920
Tioga County (814) 258-5117
MATTHEW P HECKMAN MD, PHD
Family Medicine
103 FORESTVIEW AVE
ELKLAND, PA 16920
Tioga County (814) 258-5117

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 Prutsman's NPI number?

The NPI number for Jessica Prutsman is 1811578917. It was assigned to this individual provider in the NPPES registry on April 20, 2021. The provider is also known as Miss Jessica C Carr.

Where is Jessica Prutsman located?

Jessica Prutsman practices at 103 Forestview Ave, Elkland, PA 16920. The listed phone number is (814) 258-5117.

What is Jessica Prutsman's specialty?

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

Is Jessica Prutsman enrolled in Medicare?

Yes. Jessica Prutsman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Prutsman was last updated on January 17, 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.