NPIMap

Individual provider Active NPI

Pamela Ann Weaner, MD

  • Family Medicine Physician
  • Jonestown, PA
National Provider Identifier
1518929801
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD058284L Issued in PA
Practice address
100 E Queen St
Jonestown, PA 17038-9774
Phone
(717) 865-2162
Fax
(717) 865-7680
NPI assigned
Apr 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD058284L PA Primary

Addresses

Primary practice location

100 E Queen St
Jonestown, PA 17038-9774

Mailing address

100 E Queen St
Jonestown, PA 17038-9774
Phone (717) 865-2162

Other practice location 1

120 S Tan Aly Ste 1
Fredericksburg Community Health Center PC
Fredericksburg, PA 17026-9349
Phone (717) 865-6644

Other identifiers 3

IdentifierTypeStateIssuer
001575738MedicaidPA
0849230OtherPABLUE SHIELD
02157001OtherPABLUE CROSS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pweaner115332@phsdirect.pinnaclehealth.org

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
I20100330000403 PA Practitioner - Family Practice 1254467285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of New York at Stony Brook, School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

100 E Queen St
Jonestown, PA 17038-9774

120 S Tan Aly
Suite 1
Fredericksburg, PA 17026-9349
Phone (717) 865-6644

2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363

2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD058284LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Nov 1, 2019 Accepting new patients
Pinnacle Health Medical Services Family Medicine Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Nov 1, 2019 Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

120 S Tan Aly
Ste 1
Fredericksburg, PA 17026

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

205 S Front St
Harrisburg, PA 17104
Phone (717) 231-8360

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

100 E Queen St
Jonestown, PA 17038
Phone (717) 865-0739

Interoperability endpoints

  • Direct secure messaging: pweaner19385@upmc.direct-ci.com

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

Hospital & facility affiliations 12

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1518929801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E QUEEN ST",
            "city": "JONESTOWN",
            "state": "PA",
            "postal_code": "170389774",
            "telephone_number": "717-865-2162",
            "fax_number": "717-865-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E QUEEN ST",
            "city": "JONESTOWN",
            "state": "PA",
            "postal_code": "170389774",
            "telephone_number": "717-865-2162",
            "fax_number": "717-865-7680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 S Tan Aly Ste 1",
            "address_2": "Fredericksburg Community Health Center PC",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "PA",
            "postal_code": "170269349",
            "country_code": "US",
            "telephone_number": "717-865-6644",
            "fax_number": "717-865-7321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEANER",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD058284L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001575738",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0849230",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "02157001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pweaner115332@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "100 E Queen St",
            "city": "Jonestown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170389774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jonestown, PA

Sources for this page

Verify at the official NPI Registry.