Individual provider Active NPI

Gianna Rafetto, PA-C

  • Physician Assistant
  • Chester, PA
National Provider Identifier
1285174847
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA058930 Issued in PA
Practice address
2112 Providence Ave
Chester, PA 19013-5507
Phone
(610) 874-5366
Fax
(610) 874-8448
NPI assigned
Mar 2, 2017
Last updated
Nov 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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 MA058930 PA Primary

Addresses

Primary practice location

2112 Providence Ave
Chester, PA 19013-5507

Mailing address

40 Cross St
Norwalk, CT 06851-4647
Phone (203) 229-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address grafetto@providenceent.medentdirect.com Health Information Exchange (HIE)

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
I20170410001074 PA Practitioner - Physician Assistant 1951687722 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Ear Nose and Throat Associates IncGroup PAC ID 1456349497, 12 clinicians

Practice addresses (Care Compare)

1098 W Baltimore Pike
Media, PA 19063-5139
Phone (610) 874-5366

2112 Providence Ave
Chester, PA 19013-5507
Phone (610) 874-5366

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.66 of 100Reported as group
Quality
71.67
Improvement activities
40
Cost
73.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA058930PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Physician Group Inc CurrentSince Mar 20, 2017 Accepting new patients
Pinnacle ENT Alliance LLC CurrentSince Oct 5, 2025 Accepting new patients
St Luke's Physician Group Inc CurrentSince Mar 20, 2017 Accepting new patients

Locations

2112 Providence Ave
Chester, PA 19013
Phone (610) 600-1005

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

500 Evergreen Dr
Ste 18
Glen Mills, PA 19342
Phone (610) 459-3495

301 W Chester Pike
Ste 101
Havertown, PA 19083
Phone (610) 446-6900

1098 W Baltimore Pike
Ste 3406
Media, PA 19063
Phone (610) 600-1005

Interoperability endpoints

  • Direct secure messaging: grafetto@providenceent.medentdirect.com

Organizations & group practices 5

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 1

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": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1285174847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CROSS ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514647",
            "telephone_number": "203-229-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 PROVIDENCE AVE",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190135507",
            "telephone_number": "610-874-5366",
            "fax_number": "610-874-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFETTO",
        "first_name": "GIANNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-02",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA058930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "grafetto@providenceent.medentdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2112 Providence Ave",
            "city": "Chester",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190135507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

Verify at the official NPI Registry.