Jamie Eckenrod, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP018587 Issued in PA

Practice address

16 Rose Street
Johnstown, PA 15905-4327

Phone

(814) 539-0257

Fax

(814) 536-0963

NPI assigned

Jun 5, 2018

Last updated

Jul 7, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vantage Physical Therapy and Rehabilitation IncGroup PAC ID 3072424886, 253 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Conemaugh Memorial Medical Center Hospital, Johnstown, PA, CCN 390110

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

• DLP Conemaugh Physician Practices LLC

  dba Conemaugh Physician Group Cresson

  • Family Medicine Physician
  • Cresson, PA
  • NPI 1932515905
  Medicare reassignment NPD
• Vantage Physical Therapy & Rehabilitation, Inc.

  • Rehabilitation Clinic/Center
  • Johnstown, PA
  • NPI 1487693313
  Care Compare group
• DLP Conemaugh Physician Practices LLC

  • Internal Medicine Physician
  • Johnstown, PA
  • NPI 1205242609

  Pulmonary Disease

  NPD
• DLP Conemaugh Physician Practices LLC

  dba CHI Gvozden

  • Family Medicine Physician
  • Johnstown, PA
  • NPI 1467868307
  NPD
• Conemaugh Health Initiatives

  dba CHI Paul A. Rollins, MD

  • Plastic Surgery Physician
  • Johnstown, PA
  • NPI 1073516720
  NPD (past)
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)
• Absolutely Thin

  • Dietary Manager
  • Dallas, TX
  • NPI 1821411752
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• DLP Conemaugh Memorial Medical Center LLC

  dba Conemaugh Memorial Medical Center

  • General Acute Care Hospital
  • Johnstown, PA
  • NPI 1801897038
  Care Compare affiliation

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1467944405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 ROSE STREET",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054327",
            "telephone_number": "814-539-0257",
            "fax_number": "814-536-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 ROSE STREET",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054327",
            "telephone_number": "814-539-0257",
            "fax_number": "814-536-0963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1086 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159054305",
            "country_code": "US",
            "telephone_number": "814-534-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15150 Preston Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752484854",
            "country_code": "US",
            "telephone_number": "972-934-3231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECKENROD",
        "first_name": "JAMIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "SP018587",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP018587",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP018587",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP018587",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jleckenr@conemaugh.org",
            "affiliation": "N",
            "endpointDescription": "CPG Pulmonary",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1111 Franklin St Ste 140",
            "city": "Johnstown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "159054340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patricia A Eagleson, CRNP
• Ear Nose and Throat Associates of Johnstown, Inc.
• Heidi Beth Earhart, NCC
• East Hills Ambulance, Inc
• Easter Seals Western and Central Pennsylvania (Easter Seals Western Pennsylvania)
• Tracey Ann Eckenrod, MSN CRNP
• Charlotte Ecklund
• Anusha Edara, M.D
• Edp of Pennsylvania PC
• Bailey Edwards

• Nurse Practitioner in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.