Individual provider Active NPI

Jennifer Maiolo Beck, PA-C

  • Physician Assistant
  • Wexford, PA
National Provider Identifier
1114360591
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA055827 Issued in PA
Practice address
500 Blazier Dr Ste 100
Wexford, PA 15090-9508
Phone
(724) 934-2550
Fax
(724) 935-5558
NPI assigned
Apr 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA055827 PA Primary

Addresses

Primary practice location

500 Blazier Dr Ste 100
Wexford, PA 15090-9508

Mailing address

500 Blazier Dr Ste 100
Wexford, PA 15090-9508
Phone (724) 934-2550

Other identifiers 2

IdentifierTypeStateIssuer
12527527OtherCAQH
103193093MedicaidPA

Other names 1

  • Jennifer Maiolo Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmaiolo11108@direct.ahn.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
I20130510000390 PA Practitioner - Physician Assistant 6800033887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Aug 16, 2014 Accepting new patients
Allegheny Clinic CurrentSince Aug 16, 2014 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

575 Coal Valley Rd
Ste 573
Jefferson Hills, PA 15025
Phone (412) 469-3300

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

490 E North Ave
Ste 270
Pittsburgh, PA 15212

490 E North Ave
Ste 207
Pittsburgh, PA 15212
Phone (412) 321-1810

500 Blazier Dr
Ste 100
Wexford, PA 15090
Phone (724) 934-2550

500 Blazier Dr
Wexford, PA 15090
Phone (412) 578-1152

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.

NPI Registry JSON

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1114360591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BLAZIER DR STE 100",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909508",
            "telephone_number": "724-934-2550",
            "fax_number": "724-935-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BLAZIER DR STE 100",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909508",
            "telephone_number": "724-934-2550",
            "fax_number": "724-935-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "JENNIFER",
        "middle_name": "MAIOLO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12527527",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103193093",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmaiolo11108@direct.ahn.org",
            "affiliation": "N",
            "address_1": "500 Blazier Dr",
            "city": "Wexford",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150909508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MAIOLO",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.