Jeannie Hennessy, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

MT187278 Issued in PA

Practice address

500 University Dr
H088
Hershey, PA 17033-2360

Phone

(717) 531-1692

NPI assigned

Apr 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pathology

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Dermatology and Cosmetic Surgery CenterGroup PAC ID 2264439181, 6 clinicians

Center for Surgical Dermatology IncGroup PAC ID 9739087602, 33 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Center for Surgical Dermatology Inc

  • Dermatology Physician
  • Westerville, OH
  • NPI 1972532091
  Medicare reassignment Care Compare group NPD
• Northeast Dermatology and Cosmetic Surgery Center

  • Dermatology Physician
  • Gahanna, OH
  • NPI 1609882836
  Medicare reassignment Care Compare group NPD
• The Gastroenterology Clinic & Endoscopy Center Inc

  • Gastroenterology Physician
  • Warren, OH
  • NPI 1952497117
  Medicare reassignment NPD
• Westerville Dermatology, Inc.

  • Dermatology Physician
  • Westerville, OH
  • NPI 1265447833
  NPD
• Northeast Dermatopathology Institute

  • Clinical Medical Laboratory
  • Clarks Summit, PA
  • NPI 1477526655
  NPD (past)
• CSD ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Westerville, OH
  • NPI 1821159823
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1104043561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MARBLE CLIFF OFFICE PARK",
            "address_2": "H088",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151056",
            "telephone_number": "614-299-7546",
            "fax_number": "614-588-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DR",
            "address_2": "H088",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332360",
            "telephone_number": "717-531-1692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 W Schrock Rd",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430812874",
            "country_code": "US",
            "telephone_number": "614-895-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENNESSY",
        "first_name": "JEANNIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MT187278",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "OH",
            "license": "35.129119",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Henderson
• Stephen Dwight Henderson, M.D.
• Brandon Alexander Henken
• Leah Hennes, MD
• Elise Ruth Hennessy, MD
• Susan Henning, M.D.
• Eileen F Hennrikus, M.D.
• William L Hennrikus Jr., M.D.
• Cathy Henry, M.D.
• Lauren Reilly Henry, PA-C

• Anatomic Pathology & Clinical Pathology Physician in Hershey, PA
• Providers in Hershey, PA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.