Individual provider Active NPI

Jayabharathy Santhanakrishna Iyer, FNP

  • Family Nurse Practitioner
  • Mechanicsburg, PA
National Provider Identifier
1063991180
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP018897 Issued in PA
Practice address
6 Bella Vista Dr
Mechanicsburg, PA 17050-1879
Phone
(717) 516-1290
Fax
(877) 991-9125
NPI assigned
Aug 9, 2018
Last updated
Jun 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP018897 PA Primary
Registered Nurse 163W00000X RN656790 PA

Addresses

Primary practice location

6 Bella Vista Dr
Mechanicsburg, PA 17050-1879

Mailing address

2501 N 3Rd St FL 3
Harrisburg, PA 17110-2046
Phone (717) 782-4785

Other practice location 1

2501 N 3rd St Fl 3
Harrisburg, PA 17110-2046
Phone (717) 782-4785

Other practice location 2

2005 Technology Pkwy Ste 300
Mechanicsburg, PA 17050-9413
Phone (717) 988-5864

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsanthanakrishnaiyer199852@phsdirect.pinnaclehealth.org

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
I20181003002231 PA Practitioner - Nurse Practitioner 3274885157 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

503 N 21St St
Camp Hill, PA 17011-2204
Phone (717) 234-2561

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.57 of 100Reported as group
Quality
100
Improvement activities
40
Cost
51.89

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
65.84
Promoting interoperability
100
Improvement activities
40
Cost
77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN656790PAMDRegistered Nurse
SP018897PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hammad Raza PC CurrentSince Jan 1, 2025 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jun 1, 2021 Accepting new patients
Creek Medical, PLLC CurrentSince Aug 14, 2018 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jun 1, 2021 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Jul 1, 2024 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Jul 1, 2024 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services PastSince May 9, 2021 Accepting new patients
Penn State Health Medical Group, LLC Past Accepting new patients

Locations

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

2501 N 3rd St
Fl 3
Harrisburg, PA 17110
Phone (717) 782-4785

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

120 S Filbert St
Mechanicsburg, PA 17055
Phone (717) 458-0930

2005 Technology Pkwy
Ste 300
Mechanicsburg, PA 17050
Phone (717) 782-4785

1930 S Broad St
Philadelphia, PA 19145
Phone (215) 339-4563

1001 S George St
Fl 5
York, PA 17403
Phone (717) 516-1290

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1063991180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 N 3RD ST FL 3",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171102046",
            "telephone_number": "717-782-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BELLA VISTA DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170501879",
            "telephone_number": "717-516-1290",
            "fax_number": "877-991-9125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 N 3rd St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171102046",
            "country_code": "US",
            "telephone_number": "717-782-4785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2005 Technology Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170509413",
            "country_code": "US",
            "telephone_number": "717-988-5864",
            "fax_number": "717-221-5615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTHANAKRISHNA IYER",
        "first_name": "JAYABHARATHY",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP018897",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN656790",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsanthanakrishnaiyer199852@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "2501 N 3rd St Fl 3",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171102046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.