Jena E Morcelle, RPA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

P83249 Issued in NY

Practice address

140 Hodge Ave
2ND Floor - Pediatric Surgery
Buffalo, NY 14222-2034

Phone

(716) 878-7000

Fax

(716) 878-7809

NPI assigned

Mar 6, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Jena E Mamon Former name

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bertrand Chaffee HospitalGroup PAC ID 0840273496, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Bertrand Chaffee Hospital

  • General Acute Care Hospital
  • Springville, NY
  • NPI 1275553521
  Medicare reassignment Care Compare group
• Kaleida Health

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1639209596
  Medicare reassignment
• Kaleida Health

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1427007046
  NPD
• Kaleida Health

  • Community/Retail Pharmacy
  • Buffalo, NY
  • NPI 1992540546
  NPD
• University at Buffalo Pathologists, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Buffalo, NY
  • NPI 1235155581
  NPD

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1326312513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 HODGE AVE",
            "address_2": "2ND FLOOR - PEDIATRIC SURGERY",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142222034",
            "telephone_number": "716-878-7000",
            "fax_number": "716-878-7809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HODGE AVE",
            "address_2": "2ND FLOOR - PEDIATRIC SURGERY",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142222034",
            "telephone_number": "716-878-7000",
            "fax_number": "716-878-7809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORCELLE",
        "first_name": "JENA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "P83249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENA",
            "last_name": "MAMON",
            "middle_name": "E",
            "prefix": "MISS",
            "credential": "RPA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kyle Edward Moran
• Louis John Moran, LCSW-R
• Michelle M Moran, RN
• Steven Patrick Moran, DO
• Melissa Morano, PHARM.D
• Anna Moreland
• Katherine Morelli
• Lillian Y Moreno, MA, MS
• Stephanie Anne Morey, LPN
• Bethany Morgan

• Surgical Physician Assistant in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.

Verify at the official NPI Registry.