Individual provider Active NPI

Andrea Catherine Juers, PA-C

  • Physician Assistant
  • Smyrna, DE
National Provider Identifier
1447903992
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C5-0011681 Issued in DE
Practice address
100 S Main St Ste 215
Smyrna, DE 19977-1479
Phone
(302) 659-4520
Fax
(302) 659-4525
NPI assigned
Feb 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 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 C5-0011681 DE Primary

Addresses

Primary practice location

100 S Main St Ste 215
Smyrna, DE 19977-1479

Mailing address

100 S Main St Ste 215
Smyrna, DE 19977-1479
Phone (302) 659-4520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220215001377 DE Practitioner - Physician Assistant 0345633384 Reassigns benefits to 1 organization
I20231117002648 PA Practitioner - Physician Assistant 0345633384 Reassigns benefits to 1 organization

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
Eastern Pennsylvania Physician Alliance, LLCGroup PAC ID 8325478662, 112 clinicians

Practice addresses (Care Compare)

4641 Roosevelt Blvd
Philadelphia, PA 19124-2343
Phone (215) 831-4600

561 Fairthorne Ave
Philadelphia, PA 19128-2412
Phone (215) 487-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C5-0011681DEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc Physician Assistant CurrentSince Feb 7, 2022 Accepting new patients
Christiana Care Health Services Inc CurrentSince Feb 7, 2022 Accepting new patients

Locations

4755 Oglewtown Stant S 190
Newark, DE 19718
Phone (302) 733-6510

100 S Main St
Ste 215
Smyrna, DE 19977
Phone (302) 659-4520

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1447903992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S MAIN ST STE 215",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771479",
            "telephone_number": "302-659-4520",
            "fax_number": "302-659-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MAIN ST STE 215",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771479",
            "telephone_number": "302-659-4520",
            "fax_number": "302-659-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUERS",
        "first_name": "ANDREA",
        "middle_name": "CATHERINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0011681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, DE

Sources for this page

Verify at the official NPI Registry.