Individual provider Active NPI

Jacquelin Michele Rankine, MD

  • Pediatric Adolescent Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1295197903
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
MD466500 Issued in PA
Practice address
120 Lytton Ave Ste M060
Pittsburgh, PA 15213-1481
Phone
(412) 692-6677
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X MD466500 PA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

120 Lytton Ave Ste M060
Pittsburgh, PA 15213-1481

Mailing address

120 Lytton Ave Ste M060
Pittsburgh, PA 15213-1481
Phone (412) 692-6677

Other practice location 1

3 Walnut St Ste 205
Lemoyne, PA 17043-1168
Phone (717) 988-0090

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address UPMChospitals@upmcdirect.com
Direct Messaging Address jacquelin.m.rankine@upmcdirect.com
Direct Messaging Address jrankine230415@phsdirect.pinnaclehealth.org Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220608001005 PA Practitioner - Pediatric Medicine 7618355355 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2022 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Dec 1, 2023 Accepting new patients
University of Pittsburgh Physicians Adolescent Medicine CurrentSince Jul 1, 2022 Accepting new patients
Pinnacle Health Medical Services CurrentSince Dec 1, 2023 Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients

Locations

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

3 Walnut St
Ste 205
Lemoyne, PA 17043
Phone (717) 909-0520

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

4401 Penn Ave
Ste 5400
Pittsburgh, PA 15224
Phone (412) 692-5285

120 Lytton Ave
Ste M60
Pittsburgh, PA 15213
Phone (412) 621-6540

519 Penn Ave
Ste 206
Turtle Creek, PA 15145
Phone (412) 823-3121

Interoperability endpoints

  • Direct secure messaging: jacquelin.m.rankine@upmcdirect.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1295197903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LYTTON AVE STE M060",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131481",
            "telephone_number": "412-692-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LYTTON AVE STE M060",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131481",
            "telephone_number": "412-692-6677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Walnut St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Lemoyne",
            "state": "PA",
            "postal_code": "170431168",
            "country_code": "US",
            "telephone_number": "717-988-0090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANKINE",
        "first_name": "JACQUELIN",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "PA",
            "license": "MD466500",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UPMChospitals@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St Fl 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192739",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jacquelin.m.rankine@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St Fl 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192739",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrankine230415@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3 Walnut St Ste 205",
            "city": "Lemoyne",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170431168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.