Individual provider Active NPI

Jaclyn R Owens, PA-C

  • Physician Assistant
  • Lancaster, PA
National Provider Identifier
1205130978
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA054804 Issued in PA
Practice address
2118 Spring Valley Road
Lancaster, PA 17601-2427
Phone
(717) 380-1420
Fax
(215) 707-3494
NPI assigned
Jan 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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 MA054804 PA Primary

Addresses

Primary practice location

2118 Spring Valley Road
Lancaster, PA 17601-2427

Mailing address

2118 Spring Valley Rd
Lancaster, PA 17601-2427
Phone (717) 380-1420

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
I20120925000140 PA Practitioner - Physician Assistant 1153579743 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

2118 Spring Valley Rd
Lancaster, PA 17601-2427
Phone (215) 615-2222

5665 Main St
East Petersburg, PA 17520-1513
Phone (717) 569-7011

620 Spear St
Oxford, PA 19363-1655
Phone (717) 560-3782

Hospital & facility affiliations

  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Health - Columbia Center CurrentSince Sep 22, 2019 Accepting new patients
Lancaster General Medical Group CurrentSince Jan 4, 2016 Accepting new patients
Lancaster General Medical Group CurrentSince Jan 4, 2016 Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

306 N 7th St
Columbia, PA 17512
Phone (717) 684-1500

1097 Commercial Ave
East Petersburg, PA 17520
Phone (717) 544-1952

5665 Main St
East Petersburg, PA 17520
Phone (717) 569-7011

418 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 653-1467

99 Masonic Dr
Ste 101
Elizabethtown, PA 17022
Phone (717) 396-9167

690 Good Dr
Fl 2
Lancaster, PA 17601
Phone (717) 544-0700

1655 Crooked Oak Dr
Lancaster, PA 17601
Phone (717) 569-2678

2110 Harrisburg Pike
Ste 100
Lancaster, PA 17601
Phone (717) 544-3059

1605 Lititz Pike
Lancaster, PA 17601
Phone (717) 290-7201

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

2118 Spring Valley Rd
Lancaster, PA 17601
Phone (215) 615-2222

101 Abbeyville Rd
Lancaster, PA 17603
Phone (717) 291-5991

1701 Cornwall Rd
Ste 201
Lebanon, PA 17042
Phone (717) 675-1750

146 E Main St
Leola, PA 17540
Phone (717) 646-2141

51 Peters Rd
Ste 201
Lititz, PA 17543
Phone (717) 544-6260

562 W 2nd Ave
Lititz, PA 17543
Phone (717) 626-2167

700 Lancaster Rd
Manheim, PA 17545
Phone (717) 314-0924

1159 River Rd
#F
Marietta, PA 17547
Phone (717) 426-1131

1159 River Rd
Marietta, PA 17547
Phone (717) 426-1131

1001 Cornerstone Dr
#B
Mount Joy, PA 17552
Phone (717) 653-2929

676 E Main St
New Holland, PA 17557
Phone (717) 354-4671

620 Spear St
Oxford, PA 19363
Phone (610) 932-9300

1800 Lombard St
Ste 206
Philadelphia, PA 19146
Phone (215) 615-2222

6415 Lincoln Hwy
Wrightsville, PA 17368
Phone (717) 252-1200

Interoperability endpoints

  • Direct secure messaging: jgreising127650@direct-lghealth.org

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 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": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1205130978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 SPRING VALLEY RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012427",
            "telephone_number": "717-380-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 SPRING VALLEY ROAD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012427",
            "telephone_number": "717-380-1420",
            "fax_number": "215-707-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "JACLYN",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA054804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.