Individual provider Active NPI

Jenna Ann Wickham

  • Audiologist
  • Cranberry TWP, PA
National Provider Identifier
1316501091
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
20820 Route 19 Ste a
Cranberry TWP, PA 16066-6006
Phone
(724) 779-4444
NPI assigned
Apr 28, 2019
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X NU Primary

Addresses

Primary practice location

20820 Route 19 Ste a
Cranberry TWP, PA 16066-6006

Mailing address

20820 Route 19 Ste a
Cranberry Township, PA 16066-6006
Phone (724) 779-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190718000521 PA Practitioner - Qualified Audiologist 1658606272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cranberry Hearing and Balance Center LLCGroup PAC ID 4981618998, 2 clinicians

Practice addresses (Care Compare)

999 W View Park Dr
Pittsburgh, PA 15229-1770
Phone (412) 931-9290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cranberry Hearing and Balance Center, LLC CurrentSince Jun 18, 2019 Accepting new patients

Locations

20820 Route 19
Ste A
Cranberry Twp, PA 16066
Phone (724) 779-4444

999 W View Park Dr
Pittsburgh, PA 15229

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

NPI Registry JSON

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

{
    "created_epoch": "1556409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1316501091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20820 ROUTE 19 STE A",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160666006",
            "telephone_number": "724-779-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20820 ROUTE 19 STE A",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666006",
            "telephone_number": "724-779-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKHAM",
        "first_name": "JENNA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-28",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry TWP, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.