NPIMap

Individual provider Active NPI

Jenna Clarke, PA-C

  • Physician Assistant
  • Bethlehem, PA
National Provider Identifier
1407407943
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA061104 Issued in PA
Practice address
834 Eaton Ave Ste 101
Bethlehem, PA 18018-1832
Phone
(484) 526-7474
Fax
(833) 814-7405
NPI assigned
Sep 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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 MA061104 PA Primary

Addresses

Primary practice location

834 Eaton Ave Ste 101
Bethlehem, PA 18018-1832

Mailing address

834 Eaton Ave Ste 101
Bethlehem, PA 18018-1832
Phone (484) 526-7474

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
I20200109000364 PA Practitioner - Physician Assistant 0345675997 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

6689 Sullivan TRL
Wind Gap, PA 18091-9790
Phone (610) 954-4960

6695 Sullivan TRL
Suite 201
Wind Gap, PA 18091-9790
Phone (610) 691-3131

800 Eaton Ave
Bethlehem, PA 18018-1832

834 Eaton Ave
Bethlehem, PA 18018-1832
Phone (484) 526-7780

834 Eaton Avenue 1St Floor
St Luke's Obstetrics and Gynecology Associa
Bethlehem, PA 18018-1832
Phone (484) 526-7474

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA061104PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Physician Group Inc CurrentSince Aug 1, 2022 Accepting new patients
St. Luke's Physician Group Inc. CurrentSince Aug 1, 2022 Accepting new patients
Tower Health Medical Group CurrentSince Nov 18, 2019 Accepting new patients
Tower Health Medical Group CurrentSince Nov 18, 2019 Accepting new patients
St. Luke's Physician Group, Inc Past Accepting new patients

Locations

5445 Lanark Rd
Ste 201
Center Valley, PA 18034
Phone (484) 526-5270

125 Smithfield Ln
East Stroudsburg, PA 18301
Phone (272) 212-3872

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

487 E Moorestown Rd
Ste 106
Wind Gap, PA 18091
Phone (484) 526-7474

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

1040 Reed Ave
#4
Wyomissing, PA 19610
Phone (610) 898-7560

Interoperability endpoints

  • Direct secure messaging: jenna.clarke@slpg.direct-sluhn.org

Organizations & group practices 7

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 6

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": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1407407943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 EATON AVE STE 101",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180181832",
            "telephone_number": "484-526-7474",
            "fax_number": "833-814-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 EATON AVE STE 101",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180181832",
            "telephone_number": "484-526-7474",
            "fax_number": "833-814-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "JENNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.