Individual provider Active NPI

Julie Anne Reitnauer, PA-C

  • Physician Assistant
  • Ebensburg, PA
National Provider Identifier
1609196757
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA054356 Issued in PA
Practice address
1100 W High St
Ebensburg, PA 15931-1706
Phone
(814) 472-7933
NPI assigned
Jun 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA054356 PA Primary

Addresses

Primary practice location

1100 W High St
Ebensburg, PA 15931-1706

Mailing address

379 Seneca TRL
Davidsville, PA 15928-9636
Phone (814) 242-2923

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110325000698 PA Practitioner - Physician Assistant 6507049632 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLP Conemaugh Physician Practices LLCGroup PAC ID 7315166949, 286 clinicians

Practice addresses (Care Compare)

861 Hills PLZ
Ebensburg, PA 15931-4211

Hospital & facility affiliations

  • Conemaugh Memorial Medical Center Hospital, Johnstown, PA, CCN 390110

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC CurrentSince Sep 1, 2014 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC CurrentSince Oct 20, 2014 Accepting new patients
DLP Conemaugh Physician Practices LLC Physician Assistant CurrentSince Sep 1, 2014 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC CurrentSince Oct 20, 2014 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1020 Franklin St
Johnstown, PA 15905
Phone (814) 533-1095

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

Interoperability endpoints

  • Direct secure messaging: jreitnauer6946@direct.conemaugh.org

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1609196757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 SENECA TRL",
            "city": "DAVIDSVILLE",
            "state": "PA",
            "postal_code": "159289636",
            "telephone_number": "814-242-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W HIGH ST",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159311706",
            "telephone_number": "814-472-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REITNAUER",
        "first_name": "JULIE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA054356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ebensburg, PA

Sources for this page

Verify at the official NPI Registry.