Individual provider Active NPI

Jenna N Rieg

  • Medical Physician Assistant
  • Altoona, PA
National Provider Identifier
1003263922
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
801 Howard Ave
Altoona, PA 16601-4727
Phone
(814) 889-3600
NPI assigned
May 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

801 Howard Ave
Altoona, PA 16601-4727

Mailing address

811 Philadelphia Ave
Northern Cambria, PA 15714-1334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170308000343 PA Practitioner - Physician Assistant 8325322522 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blair Regenerative Medicine LLCGroup PAC ID 1951733872, 2 clinicians
Vantage Physical Therapy and Rehabilitation IncGroup PAC ID 3072424886, 253 clinicians

Practice addresses (Care Compare)

1381 Plank Rd
Suite 102
Duncansville, PA 16635-8458
Phone (814) 317-5175

336 Bloomfield St
Johnstown, PA 15904-3271
Phone (814) 269-2224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona Regional Health Services, Inc Current Accepting new patients
Blair Regenerative Medicine LLC CurrentSince Dec 1, 2019 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

801 Howard Ave
Altoona, PA 16601
Phone (814) 201-2232

1381 Plank Rd
Ste 102
Duncansville, PA 16635
Phone (814) 317-5175

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1003263922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 PHILADELPHIA AVE",
            "city": "NORTHERN CAMBRIA",
            "state": "PA",
            "postal_code": "157141334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 HOWARD AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014727",
            "telephone_number": "814-889-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEG",
        "first_name": "JENNA",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-20",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.