Individual provider Active NPI

Janice M Sartell, PA

  • Physician Assistant
  • Seneca, PA
National Provider Identifier
1104021690
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA003229 Issued in PA
Practice address
1 Park Way
Seneca, PA 16346
Phone
(814) 676-5444
Fax
(814) 676-0342
NPI assigned
Jun 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 008266 NY
Physician Assistant 363A00000X PA9104678 FL
Physician Assistant 363A00000X OA003229 PA Primary

Addresses

Primary practice location

1 Park Way
Seneca, PA 16346

Mailing address

PO Box 802
Seneca, PA 16346-0802
Phone (814) 676-5444

Other identifiers 1

IdentifierTypeStateIssuer
008266OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070801000594 NY Practitioner - Physician Assistant 9436240710 Reassigns benefits to 1 organization
I20141126001620 PA Practitioner - Physician Assistant 9436240710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadville Urgent Care Physicians LLCGroup PAC ID 4688855919, 10 clinicians

Practice addresses (Care Compare)

16332 Conneaut Lake Rd
Meadville, PA 16335-3843
Phone (814) 807-0670

Hospital & facility affiliations

  • Meadville Medical Center Hospital, Meadville, PA, CCN 390113
  • Titusville Area Hospital Hospital, Titusville, PA, CCN 391314

Merit-based Incentive Payment System (MIPS)

Final score
53.67 of 100Reported as group
Quality
0
Improvement activities
40
Cost
78.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
008266NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Sabal Palm Emergency Physicians Past Accepting new patients
Quality Drive Emergency Physicians LLC Past Accepting new patients

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1104021690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802",
            "city": "SENECA",
            "state": "PA",
            "postal_code": "163460802",
            "telephone_number": "814-676-5444",
            "fax_number": "814-676-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARK WAY",
            "city": "SENECA",
            "state": "PA",
            "postal_code": "16346",
            "telephone_number": "814-676-5444",
            "fax_number": "814-676-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARTELL",
        "first_name": "JANICE",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "008266",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104678",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA003229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "008266",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, PA

Sources for this page

Verify at the official NPI Registry.