Jed Nieves, CRNP in Williamsport, PA - Medicare Nurse Practitioner

Jed Nieves, CRNP is a medicare enrolled "Nurse Practitioner" in Williamsport, Pennsylvania. His current practice location is 700 High Street, Williamsport, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 321-2020.

Jed Nieves is licensed to practice in Pennsylvania (license number SP031316) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336615897.

Contact Information

	Jed Nieves, CRNP
	700 High Street, Williamsport, PA 17701-3100
	(570) 321-2020
	Not Available

Map and Direction

Provider's Profile

Full Name	Jed Nieves
Gender	Male
Speciality	Nurse Practitioner
Location	700 High Street, Williamsport, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336615897
Provider Enumeration Date: 10/22/2018
Last Update Date: 02/07/2025

Medicare PECOS Information:

PECOS PAC ID: 3779822309
Enrollment ID: I20190226002830

Medical Identifiers

Medical identifiers for Jed Nieves such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336615897	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	SP031316 (Pennsylvania)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jed Nieves allows following entities to bill medicare on his behalf.

Entity Name	University Of Maryland Orthopaedic Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740235274 PECOS PAC ID: 0042108722 Enrollment ID: O20040305000149

Entity Name	Shock Trauma Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679512909 PECOS PAC ID: 6800882317 Enrollment ID: O20040421000976

Entity Name	Whole Body Healthcare, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740729482 PECOS PAC ID: 7012281348 Enrollment ID: O20170925002590

Entity Name	Whole Body Healthcare Parkville Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578139291 PECOS PAC ID: 8022413913 Enrollment ID: O20210816001122

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jed Nieves is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jed Nieves, CRNP 1201 Grampian Blvd, Williamsport, PA 17701-1900 Ph: (570) 326-8723	Jed Nieves, CRNP 700 High Street, Williamsport, PA 17701-3100 Ph: (570) 321-2020

Reviews and Comments

Nurse Practitioner Nurses in Williamsport, PA

Lucas Charles Mariano, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 740 High St Ste 3002, Williamsport, PA 17701 Phone: 570-321-2820 Fax: 570-321-2821
Mrs. Mindi Nichols, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701 Phone: 570-320-7691 Fax: 570-320-7898
Ms. Sonya Miles, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 471 Hepburn St, Williamsport, PA 17701 Phone: 570-567-5400 Fax: 570-567-5421
Ashlee Leigh Hall, CRNP, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-321-2810 Fax: 570-321-2811
Merete Vogelsong, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 740 High St Ste 2001, Suite 2001, Williamsport, PA 17701 Phone: 570-321-2800
Michelle Marie Dangle, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 471 Hepburn St, Williamsport, PA 17701 Phone: 570-567-5400
Rebecca Rhone, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 740 High St, Suite 2001, Williamsport, PA 17701 Phone: 570-321-3165

Jed Nieves, CRNP - Medicare Nurse Practitioner in Williamsport, PA