Individual provider Active NPI

Jenna Beattie, CRNP

  • Family Nurse Practitioner
  • Washington, PA
National Provider Identifier
1205347663
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP018572 Issued in PA
Practice address
470 Johnson Rd Ste 110
Washington, PA 15301-8944
Phone
(724) 579-7000
NPI assigned
Oct 12, 2017
Last updated
Feb 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP018572 PA Primary

Addresses

Primary practice location

470 Johnson Rd Ste 110
Washington, PA 15301-8944

Mailing address

470 Johnson Rd Ste 110
Washington, PA 15301-8944
Phone (412) 974-9312

Other names 1

  • Jenna Balkovec Former name

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
I20180222000448 PA Practitioner - Nurse Practitioner 8325309917 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wheeling Hospital IncGroup PAC ID 5799689493, 433 clinicians

Practice addresses (Care Compare)

470 Johnson Rd
Washington, PA 15301-8944
Phone (724) 579-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP018572PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Valley Multispecialty Group, Inc. CurrentSince May 13, 2019 Accepting new patients
Heritage Valley Multispecialty Group, Inc. CurrentSince May 13, 2019 Accepting new patients
Wheeling Hospital Inc CurrentSince Feb 1, 2024 Accepting new patients
Wheeling Hospital Inc Past Accepting new patients

Locations

2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802

500 Sharon Rd
Beaver, PA 15009
Phone (724) 728-7683

2580 Constitution Blvd
Beaver Falls, PA 15010
Phone (724) 770-7999

470 Johnson Rd
Ste 110
Washington, PA 15301
Phone (724) 229-5260

90 W Chestnut St
Ste 410
Washington, PA 15301
Phone (724) 228-8856

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1205347663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 JOHNSON RD STE 110",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153018944",
            "telephone_number": "412-974-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 JOHNSON RD STE 110",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153018944",
            "telephone_number": "724-579-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTIE",
        "first_name": "JENNA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP018572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "BALKOVEC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.