NPIMap

Individual provider Active NPI

Zachary Jacobelli, PA-C

  • Surgical Physician Assistant
  • Mount Pleasant, SC
National Provider Identifier
1497411060
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA063238 Issued in PA
Practice address
929 Bowman Rd Ste 400
Mt Pleasant, SC 29464-3237
Phone
(843) 438-1317
Fax
(843) 806-4295
NPI assigned
Nov 9, 2021
Last updated
Oct 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MA063238 PA Primary

Addresses

Primary practice location

929 Bowman Rd Ste 400
Mt Pleasant, SC 29464-3237

Mailing address

6214 Antler Hill Dr
Trafford, PA 15085-2310
Phone (412) 862-6924

Other practice location 1

2580 Haymaker Rd Ste 106
Monroeville, PA 15146-3500
Phone (412) 858-7766

Other identifiers 1

IdentifierTypeStateIssuer
15511342OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220222000312 PA Practitioner - Physician Assistant 8325432156 Reassigns benefits to 1 organization
I20250906000423 SC Practitioner - Physician Assistant 8325432156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Signe Spine and Rehab, LLCGroup PAC ID 3274755392, 3 clinicians

Practice addresses (Care Compare)

929 Bowman Rd
Suite 400
Mount Pleasant, SC 29464-3237
Phone (843) 730-4124

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Jan 10, 2022 Accepting new patients
Allegheny Clinic Neurological Surgery CurrentSince Jan 10, 2022 Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

1001 9th Ave
Brackenridge, PA 15014

2580 Haymaker Rd
Ste 106
Monroeville, PA 15146
Phone (412) 374-1441

701 Broad St
Ste 431
Sewickley, PA 15143
Phone (412) 741-0966

Interoperability endpoints

  • Direct secure messaging: zachary.jacobelli.1@18325.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1497411060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6214 ANTLER HILL DR",
            "city": "TRAFFORD",
            "state": "PA",
            "postal_code": "150852310",
            "telephone_number": "412-862-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 BOWMAN RD STE 400",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643237",
            "telephone_number": "843-438-1317",
            "fax_number": "843-806-4295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2580 Haymaker Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Monroeville",
            "state": "PA",
            "postal_code": "151463500",
            "country_code": "US",
            "telephone_number": "412-858-7766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBELLI",
        "first_name": "ZACHARY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-09",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA063238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15511342",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.