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JESSICA HATALA DMD
NPI 1972128791
Dentist - General Practice in Lords Valley, PA

Active since June 09, 2020PECOS Enrolled
750 ROUTE 739, LORDS VALLEY, PA 18428(570) 775-7818 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2020, Jun 9, 2020 (2 updates tracked since 2020).

About Jessica Hatala Dmd NPPES

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

JESSICA HATALA DMD (NPI 1972128791) is an individual general practice provider in Lords Valley, Pennsylvania, licensed in Pennsylvania (DS042331) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972128791
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameJESSICA HATALACredential: DMD
Location Address750 ROUTE 739Lords Valley, PA 18428-6058
Mailing Address1239 Dundaff StDickson City, PA 18519-1142 · (570) 604-2611
Phone(570) 775-7818
Sole ProprietorYes
Enumeration DateJune 9, 2020
Last NPPES UpdateJuly 20, 20202 updates tracked since enumeration
NPPES CertifiedJuly 20, 2020
✔ NPI 1972128791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PA · DS042331
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
750 ROUTE 739, Lords Valley, PA 18428
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Hatala Dmd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18428 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.

Other Providers at the Same Location NPPES 9

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

NEIL PETROSKY LCSW
Social Worker (Clinical)
750 ROUTE 739
LORDS VALLEY, PA 18428
Wayne County (570) 775-4081
LYNN SALVATI CRNP
Nurse Practitioner
750 ROUTE 739
LORDS VALLEY, PA 18428
Wayne County (570) 775-7100
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
750 ROUTE 739, SUITE C
HAWLEY, PA 18428
Wayne County (570) 775-8838
TRACEYAN R. MENDEZ M.D.
Family Medicine
750 ROUTE 739
LORDS VALLEY, PA 18428
Wayne County (570) 775-7100
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
750 ROUTE 739, SUITE D
LORDS VALLEY, PA 18428
Wayne County (570) 251-6534
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
750 ROUTE 739
HAWLEY, PA 18428
Wayne County (570) 775-7100
PAMELA GAENG
Nurse Practitioner (Family)
750 ROUTE 739
LORDS VALLEY, PA 18428
Wayne County (570) 775-7100
JOHN MICHAEL WEISENREIDER MD
Internal Medicine
750 ROUTE 739
HAWLEY, PA 18428
Wayne County (570) 775-7100

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 Hatala's NPI number?

The NPI number for Jessica Hatala is 1972128791. It was assigned to this individual provider in the NPPES registry on June 9, 2020.

Where is Jessica Hatala located?

Jessica Hatala practices at 750 Route 739, Lords Valley, PA 18428. The listed phone number is (570) 775-7818.

What is Jessica Hatala's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jessica Hatala enrolled in Medicare?

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

What insurance does Jessica Hatala accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 12 other insurers list Jessica Hatala 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 Hatala was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.