Individual ProviderJessica McginnisNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address216 Greenfield Rd, Lancaster, PA 17601-5817(717) 803-3002(254) 541-9713PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Mcginnis is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1124558192Provider TypeIndividualFull NameMcginnis, JessicaCredentialRN FNPGenderFemaleSole ProprietorNoEnumeration Date6/13/2017Last Updated2/9/2021Contact InformationPractice LocationPractice Address216 Greenfield Rd, Lancaster, PA 17601-5817Phone(717) 803-3002FaxUnlisted FaxMailing LocationMailing Address638 Merchants Sq, Lancaster, PA 17601-8814Phone(254) 541-9713FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseSP022913PennsylvaniaCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseAP134115Texas