Active NPI
Jennifer Marie Jablonowski, PA
- Medical Physician Assistant
- Beaver, PA
National Provider Identifier
1275889107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA055643
- Practice address
- 1000 Dutch Ridge Rd
Beaver, PA 15009-9727 - Phone
- (724) 773-1941
- Fax
- (724) 773-8370
- NPI assigned
- Jul 30, 2012
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA055643 | PA | Primary |
Addresses
Primary practice location
1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Mailing address
1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone (724) 773-1941
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140707001078 | PA | Practitioner - Physician Assistant | 7911122965 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Heritage Valley Multispecialty Group Inc
Practice addresses (Care Compare)
1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone (724) 773-6403
500 Sharon Rd
Beaver, PA 15009-1957
Phone (724) 728-8751
720 Blackburn Rd
Sewickley, PA 15143-1459
Phone (412) 749-7127
Hospital & facility affiliations
- Heritage Valley Sewickley
- Heritage Valley Beaver
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA055643 | PA | MD | Medical Physician Assistant |
Organizations & group practices 1
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 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- MC Kees Rocks, PA
- NPI 1073598439
Hospital
-
- General Acute Care Hospital
- Beaver Falls, PA
- NPI 1306989983
Hospital
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- MC Kees Rocks, PA
- NPI 1437291853
Hospital
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sewickley, PA
- NPI 1528101458
Hospital
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bellevue, PA
- NPI 1730221870
Hospital
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wexford, PA
- NPI 1992847354
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470787200000",
"number": "1275889107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 DUTCH RIDGE RD",
"city": "BEAVER",
"state": "PA",
"postal_code": "150099727",
"telephone_number": "724-773-1941",
"fax_number": "724-773-8370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 DUTCH RIDGE RD",
"city": "BEAVER",
"state": "PA",
"postal_code": "150099727",
"telephone_number": "724-773-1941",
"fax_number": "724-773-8370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABLONOWSKI",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-30",
"last_updated": "2016-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA055643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaver, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.