NPIMap

Individual provider Active NPI

Jennifer Repshis, PAC

  • Medical Physician Assistant
  • Plains, PA
National Provider Identifier
1568456754
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA051043 Issued in PA
Practice address
220 S River St
Plains, PA 18705-1137
Phone
(570) 824-8151
NPI assigned
Sep 2, 2005
Last updated
Sep 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA051043 PA Primary

Addresses

Primary practice location

220 S River St
Plains, PA 18705-1137

Mailing address

675 Wyoming Ave
Kingston, PA 18704-3831
Phone (570) 288-4205

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
I20100916000745 PA Practitioner - Physician Assistant 1850416611 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

10 Dundaff St
Carbondale, PA 18407-1869
Phone (570) 282-1404

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144

4 Dundaff St
Carbondale, PA 18407-1869
Phone (570) 282-1605

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Nov 18, 2024 Accepting new patients
Geisinger Medical Oncology Lock Haven CurrentSince Nov 18, 2024 Accepting new patients
Mo Medical Management Inc. Past Accepting new patients
Geisinger Clinic Past Accepting new patients
Linden Medical Group Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

220 S River St
Plains, PA 18705
Phone (570) 824-3444

Interoperability endpoints

  • Direct secure messaging: jenniferrepshis@guyfascianamd.medentdirect.com
  • Direct secure messaging: jrepshis80380@direct.geisinger.edu

Organizations & group practices 8

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 5

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": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1568456754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043831",
            "telephone_number": "570-288-4205",
            "fax_number": "570-288-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S RIVER ST",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "187051137",
            "telephone_number": "570-824-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPSHIS",
        "first_name": "JENNIFER",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA051043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plains, PA

Sources for this page

Verify at the official NPI Registry.