NPIMap

Individual provider Active NPI

Elizabeth Catherine Jeitner, PA-C

  • Physician Assistant
  • Upland, PA
National Provider Identifier
1396399366
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA061146 Issued in PA
Practice address
30 Medical Center Blvd
Pob 1 Suite 303
Upland, PA 19013
Phone
(610) 872-8501
NPI assigned
Jul 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 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 MA061146 PA Primary

Addresses

Primary practice location

30 Medical Center Blvd
Pob 1 Suite 303
Upland, PA 19013

Mailing address

30 Medical Center Blvd
Pob 1 Suite 303
Upland, PA 19013
Phone (610) 872-8501

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address UPMChospitals@upmcdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191217001568 PA Practitioner - Physician Assistant 6709210271 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Renal Associates LLCGroup PAC ID 6901881366, 33 clinicians

Practice addresses (Care Compare)

176 S Middletown Rd
Suite 101
Media, PA 19063-5255
Phone (610) 872-8501

30 Medical Ctr Blvd
Suite 303
Upland, PA 19013-3955

30 Medical Ctr Blvd
Suite 303
Chester, PA 19013-3958
Phone (610) 872-8501

Hospital & facility affiliations

  • Riddle Memorial Hospital Hospital, Media, PA, CCN 390222

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Feb 1, 2021 Accepting new patients
Einstein Practice Plan Inc CurrentSince Dec 3, 2019 Accepting new patients
University of Penn-Medical Group CurrentSince Feb 1, 2021 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 17, 2023 Accepting new patients
Einstein Practice Plan, Inc. CurrentSince Dec 3, 2019 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 17, 2023 Accepting new patients
Einstein Practice Plan Inc Past Accepting new patients

Locations

5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405

3400 Spruce St
Fl 4
Philadelphia, PA 19104
Phone (215) 662-2050

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

300 Halket St
Ste 5150
Pittsburgh, PA 15213
Phone (412) 641-1600

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000

Interoperability endpoints

  • Direct secure messaging: elizabeth.jeitner.1@3389.direct.athenahealth.com

Organizations & group practices 11

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.

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": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1396399366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MEDICAL CENTER BLVD",
            "address_2": "POB 1 SUITE 303",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "19013",
            "telephone_number": "610-872-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MEDICAL CENTER BLVD",
            "address_2": "POB 1 SUITE 303",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "19013",
            "telephone_number": "610-872-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEITNER",
        "first_name": "ELIZABETH",
        "middle_name": "CATHERINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061146",
            "primary": true
        }
    ],
    "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"
        }
    ],
    "other_names": []
}

Other providers in Upland, PA

Sources for this page

Verify at the official NPI Registry.