Individual ProviderJamie MottaNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address4401 Penn Ave Fl 3, Pittsburgh, PA 15224-1334(412) 692-5070PECOS EnrollmentBased on the most recent information from CMS, provider Jamie Motta 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 yesterday at 10:04 AM.Profile DetailsProvider ID1629602297Provider TypeIndividualFull NameMotta, JamieCredentialCRNPGenderFemaleSole ProprietorNoEnumeration Date2/23/2020Last Updated2/23/2020Contact InformationPractice LocationPractice Address4401 Penn Ave Fl 3, Pittsburgh, PA 15224-1334Phone(412) 692-5070FaxUnlisted FaxMailing LocationMailing Address4401 Penn Ave, Pittsburgh, PA 15224-1334PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseSP021253Pennsylvania