Individual provider Active NPI

Jacqueline Schon Kegel, PA-C

  • Physician Assistant
  • Guilford, CT
National Provider Identifier
1578320677
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00913400 Issued in NJ
Practice address
60 Ironwood Rd
Guilford, CT 06437-4714
Phone
(203) 915-3172
NPI assigned
Mar 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 25MP00913400 NJ Primary

Addresses

Primary practice location

60 Ironwood Rd
Guilford, CT 06437-4714

Mailing address

60 Ironwood Rd
Guilford, CT 06437-4714
Phone (203) 915-3172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240726001891 PA Practitioner - Physician Assistant 3375089295 Reassigns benefits to 2 organizations
I20250312003589 NJ Practitioner - Physician Assistant 3375089295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On Demand Urgent Care Group PCGroup PAC ID 5991029712, 95 clinicians

Practice addresses (Care Compare)

1217 S Broad St
Philadelphia, PA 19147-4401
Phone (215) 999-1217

1500 Spring Garden St
Suite R105
Philadelphia, PA 19130-4067
Phone (267) 768-8288

213 Morton Ave
Folsom, PA 19033-3023
Phone (610) 285-9500

3356 Aramingo Ave
Philadelphia, PA 19134-4506
Phone (215) 999-3356

3626 St Rd
Bensalem, PA 19020-1507
Phone (267) 763-3626

5828 Market St
Philadelphia, PA 19139-3152
Phone (267) 892-5828

6060 Ridge Ave
Suite 100
Philadelphia, PA 19128-1659
Phone (215) 999-6060

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Health Physician Services CurrentSince Jul 1, 2024 Accepting new patients
On Demand Urgent Care Group PC CurrentSince Jan 1, 2026 Accepting new patients
Aria Health Physician Services CurrentSince Jul 1, 2024 Accepting new patients
On Demand Urgent Care Group PC Past Accepting new patients

Locations

3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060

3356 Aramingo Ave
Philadelphia, PA 19134
Phone (215) 739-6600

1101 Market St
Fl 19
Philadelphia, PA 19107
Phone (215) 481-6836

Organizations & group practices 6

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": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1578320677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 IRONWOOD RD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064374714",
            "telephone_number": "203-915-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 IRONWOOD RD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064374714",
            "telephone_number": "203-915-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEGEL",
        "first_name": "JACQUELINE",
        "middle_name": "SCHON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00913400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

Verify at the official NPI Registry.