NPIMap

Individual provider Active NPI

Jennifer Hershey, PA

  • Surgical Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1265823785
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA057420 Issued in PA
Practice address
219 N Broad St
Philadelphia, PA 19107-1519
Phone
(844) 464-6387
NPI assigned
Feb 6, 2015
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Physician Assistant 363A00000X 9111846 FL
Physician Assistant 363A00000X MA057420 PA
Surgical Physician Assistant 363AS0400X MA057420 PA Primary

Addresses

Primary practice location

219 N Broad St
Philadelphia, PA 19107-1519

Mailing address

219 N Broad St
Philadelphia, PA 19107-1519

Other practice location 1

205 S Front St Fl 6
Harrisburg, PA 17104-1619
Phone (717) 988-9370

Other practice location 2

3301 Overseas Hwy
Marathon, FL 33050-2329
Phone (305) 434-1000

Other practice location 3

2615 Chester Ave
Bakersfield, CA 93301-2014
Phone (661) 395-3000

Other identifiers 1

IdentifierTypeStateIssuer
103401759MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jhershey156610@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150514000047 PA Practitioner - Physician Assistant 9931429008 Reassigns benefits to 4 organizations
I20240422001739 FL Practitioner - Physician Assistant 9931429008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

160 N Pointe Blvd
Lancaster, PA 17601-4134

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9111846FLMDPhysician Assistant
MA057420PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Jan 8, 2020 Accepting new patients
Atlantic Physician Services of Maryland, PC Physician Assistant CurrentSince Jul 1, 2018 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jan 8, 2020 Accepting new patients
Argires Marotti Physical Therapy CurrentSince Jan 1, 2026 Accepting new patients
Argires Marotti Neurosurgical Associates of Lancaster, PC CurrentSince Jan 1, 2026 Accepting new patients
Medical Associates of the Main Line, PC PastSince Mar 12, 2024 Accepting new patients

Locations

300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711

205 S Front St
Fl 6
Harrisburg, PA 17104
Phone (717) 231-8343

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

160 N Pointe Blvd
Ste 200
Lancaster, PA 17601
Phone (717) 358-0800

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

Organizations & group practices 10

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.

Hospital & facility affiliations 7

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": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1265823785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071519",
            "telephone_number": "844-464-6387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 S Front St Fl 6",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171041619",
            "country_code": "US",
            "telephone_number": "717-988-9370",
            "fax_number": "717-703-0154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3301 Overseas Hwy",
            "address_purpose": "LOCATION",
            "city": "Marathon",
            "state": "FL",
            "postal_code": "330502329",
            "country_code": "US",
            "telephone_number": "305-434-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2615 Chester Ave",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933012014",
            "country_code": "US",
            "telephone_number": "661-395-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERSHEY",
        "first_name": "JENNIFER",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-06",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9111846",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA057420",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA057420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103401759",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhershey156610@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "205 S Front St Fl 6",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171041619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.