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: November 01, 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
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

Other Names 1

Former Name (1)Miss Jessica C Carr

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)

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.

Medicare Billing Reassignment

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

Federally Qualified Health Center (FQHC)
103 FORESTVIEW AVE
Elkland, PA 16920
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 54 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.

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Federally Qualified Health Center (FQHC))
103 FORESTVIEW AVE
ELKLAND, PA 16920
Physician Assistant (Medical)
103 FORESTVIEW AVE
ELKLAND, PA 16920
Physician Assistant
103 FORESTVIEW AVE
ELKLAND, PA 16920
Family Medicine
103 FORESTVIEW AVE
ELKLAND, PA 16920

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.

Which organization bills Medicare for Jessica Prutsman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Prutsman reassigns Medicare benefits to North Penn Comprehensive Health Services (Elkland, 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 Jessica Prutsman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Prutsman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Jessica Prutsman 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 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.