Active NPI
Jacquelynn Ortega, CRNP
- Family Nurse Practitioner
- Chambersburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP020810
- Practice address
- 22 St Paul Dr Ste 201
Chambersburg, PA 17201-1036 - Phone
- (717) 217-6944
- Fax
- (717) 217-6955
- NPI assigned
- Feb 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP020810 | PA | Primary |
Addresses
Primary practice location
22 St Paul Dr Ste 201
Chambersburg, PA 17201-1036
Mailing address
785 5TH Ave Ste 3
Chambersburg, PA 17201-4232
Phone (717) 263-9555
Other practice location 1
338 Alexander Spring Rd
Carlisle, PA 17015-9129
Phone (717) 218-5103
Other practice location 2
97 Progress Blvd
Shippensburg, PA 17257-9053
Phone (717) 217-6944
Other practice location 3
501 E Main St Fl 2
Waynesboro, PA 17268-2353
Phone (717) 217-6944
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103722844 | Medicaid | PA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22 St Paul Dr
Chambersburg, PA 17201-1036
25 Monument Rd
York, PA 17403-5073
2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214
914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Summit Physician Services | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Wellspan Medical Group | Past | Accepting new patients |
Locations
338 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 218-5103
22 St Paul Dr
Chambersburg, PA 17201
Phone (717) 217-6020
22 St Paul Dr
Ste 201
Chambersburg, PA 17201
Phone (717) 217-6955
300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
97 Progress Blvd
Shippensburg, PA 17257
Phone (717) 217-6800
601 E Main St
Waynesboro, PA 17268
Phone (717) 765-5085
501 E Main St
Fl 2
Waynesboro, PA 17268
501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
1600 S George St
York, PA 17403
Phone (717) 848-3615
Interoperability endpoints
- jortega225144@wellspan.direct-ci.com
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 and National Provider Directory roles.
-
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
-
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
-
- Surgery Physician
- Lancaster, PA
- NPI 1730747171
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- Pediatrics Physician
- York, PA
- NPI 1750443719
-
- Family Medicine Physician
- Chambersburg, PA
- NPI 1306840814
-
- Family Medicine Physician
- York, PA
- NPI 1598862716
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chambersburg, PA
- NPI 1902804552
-
- General Acute Care Hospital
- Waynesboro, PA
- NPI 1821091059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631059200000",
"number": "1194282368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "785 5TH AVE STE 3",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172014232",
"telephone_number": "717-263-9555",
"fax_number": "717-709-6529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 ST PAUL DR STE 201",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172011036",
"telephone_number": "717-217-6944",
"fax_number": "717-217-6955"
}
],
"practiceLocations": [
{
"address_1": "338 Alexander Spring Rd",
"address_purpose": "LOCATION",
"city": "Carlisle",
"state": "PA",
"postal_code": "170159129",
"country_code": "US",
"telephone_number": "717-218-5103",
"fax_number": "717-303-3729",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "97 Progress Blvd",
"address_purpose": "LOCATION",
"city": "Shippensburg",
"state": "PA",
"postal_code": "172579053",
"country_code": "US",
"telephone_number": "717-217-6944",
"fax_number": "717-217-6955",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 E Main St Fl 2",
"address_purpose": "LOCATION",
"city": "Waynesboro",
"state": "PA",
"postal_code": "172682353",
"country_code": "US",
"telephone_number": "717-217-6944",
"fax_number": "717-217-6955",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORTEGA",
"first_name": "JACQUELYNN",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-25",
"last_updated": "2021-09-08",
"certification_date": "2021-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP020810",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103722844",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chambersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.