Individual provider Active NPI

Jennifer Sara Louise Schaefer, CRNP

  • Family Nurse Practitioner
  • Sewickley, PA
National Provider Identifier
1033699962
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP019009 Issued in PA
Practice address
Sewickley Valley Pediatric and Adolescent Medicine, PC
701 Broad Street, Suite 422
Sewickley, PA 15143-1652
Phone
(412) 741-8700
Fax
(712) 741-3710
NPI assigned
Aug 20, 2018
Last updated
Aug 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP019009 PA Primary

Addresses

Primary practice location

Sewickley Valley Pediatric and Adolescent Medicine, PC
701 Broad Street, Suite 422
Sewickley, PA 15143-1652

Mailing address

119 Vip Dr Ste 102
Wexford, PA 15090-7976
Phone (724) 935-2610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP019009PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Pediatrics Past Accepting new patients
Sewickley Valley Pediatrics & Adolescent Medicine Past Accepting new patients
Howard K. Scott, M.D. & Associates P.C. Past Accepting new patients
Childen's Community Care PastSince Sep 17, 2023 Accepting new patients
Childrens Community Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jschaefer531696@direct.ahn.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1033699962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 VIP DR STE 102",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907976",
            "telephone_number": "724-935-2610",
            "fax_number": "724-935-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SEWICKLEY VALLEY PEDIATRIC AND ADOLESCENT MEDICINE, PC",
            "address_2": "701 BROAD STREET, SUITE 422",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431652",
            "telephone_number": "412-741-8700",
            "fax_number": "712-741-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "JENNIFER",
        "middle_name": "SARA LOUISE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP019009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.