Individual provider Active NPI

Jacqueline Huntzicker, M.D.

  • Emergency Medicine Physician
  • York, PA
National Provider Identifier
1497015028
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD455251 Issued in PA
Practice address
1701 Innovation Dr
York, PA 17408-8815
Phone
(717) 988-0000
NPI assigned
May 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD455251 PA Primary

Addresses

Primary practice location

1701 Innovation Dr
York, PA 17408-8815

Mailing address

1701 Innovation Dr
York, PA 17408-8815

Other practice location 1

1001 S George St
York Hospital
York, PA 17403-3676
Phone (717) 851-2311

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jhuntzicker64477@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150908001116 PA Practitioner - Emergency Medicine 2264748169 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.46 of 100Reported as group
Quality
92.17
Promoting interoperability
100
Improvement activities
40
Cost
78.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD455251PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
York Hospital CurrentSince Sep 15, 2018 Accepting new patients
Pinnacle Health Emergency Department Services LLC Emergency Medicine CurrentSince Dec 1, 2018 Accepting new patients
York Hospital Current Accepting new patients

Locations

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

605 S George St
Ste 200
York, PA 17401
Phone (717) 851-2334

1701 Innovation Dr
York, PA 17408
Phone (717) 843-8623

1001 S George St
York, PA 17403
Phone (717) 812-7687

Interoperability endpoints

  • Direct secure messaging: jhuntzicker515144@upmc.direct-ci.com

Organizations & group practices 3

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": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610150400000",
    "number": "1497015028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 INNOVATION DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174088815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 INNOVATION DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174088815",
            "telephone_number": "717-988-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 S George St",
            "address_2": "York Hospital",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174033676",
            "country_code": "US",
            "telephone_number": "717-851-2311",
            "fax_number": "717-851-3469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNTZICKER",
        "first_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-16",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD455251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhuntzicker64477@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "1701 Innovation Dr",
            "city": "York",
            "state": "PA",
            "country_code": "US",
            "postal_code": "174088815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.