NPIMap

Individual provider Active NPI

Jenna Michelle Kish, PA-C

  • Physician Assistant
  • Gettysburg, PA
National Provider Identifier
1295270379
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0006333 Issued in MD
Practice address
20 Expedition TRL Ste 100103
Gettysburg, PA 17325-8598
Phone
(717) 334-8333
Fax
(717) 334-3615
NPI assigned
Dec 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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 C0006333 MD Primary

Addresses

Primary practice location

20 Expedition TRL Ste 100103
Gettysburg, PA 17325-8598

Mailing address

195 Stock St Ste 304
Hanover, PA 17331-2271

Other practice location 1

195 Stock St Ste 304
Hanover, PA 17331-2271
Phone (717) 698-1564

Other practice location 2

22 S Greene St
Orthopaedics
Baltimore, MD 21201-1544
Phone (410) 328-6040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA2 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
I20180212002159 MD Practitioner - Physician Assistant 0840567541 Reassigns benefits to 2 organizations
I20220921003601 PA Practitioner - Physician Assistant 0840567541 Reassigns benefits to 2 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
Satish a Shah MD PCGroup PAC ID 0648258947, 16 clinicians

Practice addresses (Care Compare)

20 Expedition Trail
Gettysburg, PA 17325-8599

20 Expedition TRL
Suite 101
Gettysburg, PA 17325-8599

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0006333MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Orthopaedic Associates P a CurrentSince Jan 1, 2018 Accepting new patients
University of Maryland Oncology Associates, PA CurrentSince Oct 13, 2019 Accepting new patients
Chesapeake Urology Associates LLC CurrentSince Dec 1, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

20 Expedition Trl
Ste 101
Gettysburg, PA 17325
Phone (717) 334-4033

195 Stock St
Ste 206
Hanover, PA 17331
Phone (717) 632-1448

195 Stock St
Ste 304
Hanover, PA 17331
Phone (717) 698-1564

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

Hospital & facility affiliations 4

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": "1482883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1295270379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 STOCK ST STE 304",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 EXPEDITION TRL STE 100103",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173258598",
            "telephone_number": "717-334-8333",
            "fax_number": "717-334-3615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "195 Stock St Ste 304",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173312271",
            "country_code": "US",
            "telephone_number": "717-698-1564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 S Greene St",
            "address_2": "Orthopaedics",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011544",
            "country_code": "US",
            "telephone_number": "410-328-6040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KISH",
        "first_name": "JENNA",
        "middle_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-28",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0006333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, PA

Sources for this page

Verify at the official NPI Registry.