NPIMap

Individual provider Active NPI

Jacqueline Marie Guerriero, D.O.

  • Surgery Physician
  • Wilkes Barre, PA
National Provider Identifier
1639330384
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OS016295 Issued in PA
Practice address
1000 E Mountain Blvd
Wilkes Barre, PA 18711-0027
Phone
(570) 808-2340
NPI assigned
Jun 24, 2008
Last updated
May 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Surgery Physician 208600000X OS016295 PA Primary

Addresses

Primary practice location

1000 E Mountain Blvd
Wilkes Barre, PA 18711-0027

Mailing address

359 Orchard St
Old Forge, PA 18518-1946

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
I20130904000737 PA Practitioner - General Surgery 4880837285 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of New England, College of Osteo Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glade Run Medical Associates IncGroup PAC ID 3577696897, 27 clinicians
Vohra Post Acute Care Physicians of the Northeast PAGroup PAC ID 9335378066, 34 clinicians

Practice addresses (Care Compare)

1 Nolte Dr
Armstong Behavioral Health
Kittanning, PA 16201-7111
Phone (724) 543-8500

1320 Greentree Rd
Pittsburgh, PA 15220-2002
Phone (412) 571-1300

325 Sentry Pkwy Building 5
Suite 200
Blue Bell, PA 19422-2312
Phone (954) 399-4673

4363 Northern Pike
Monroeville, PA 15146-2807
Phone (412) 373-3900

4365 Northern Pike
Monroeville, PA 15146-2807
Phone (724) 352-1571

867 York Rd
Gettysburg, PA 17325-7501
Phone (717) 337-3238

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Removal of tissue444
Removal of skin lesions11
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS016295PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glade Run Medical Associates CurrentSince Aug 13, 2018 Accepting new patients
Vohra Post Acute Care Physicians of the Northeast PA CurrentSince Nov 18, 2024 Accepting new patients
Armstrong County Memorial Hospital CurrentSince Apr 12, 2025 Accepting new patients
Armstrong County Memorial Hospital Current Accepting new patients
Glade Run Medical Associates Inc CurrentSince Aug 13, 2018 Accepting new patients
Glade Run Medical Associates Inc Surgery Current Accepting new patients
Armstrong County Memorial Hospital CurrentSince Apr 12, 2025 Accepting new patients

Locations

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

325 Sentry Pkwy
Bldg 5
Blue Bell, PA 19422
Phone (610) 277-3430

325 Sentry Pkwy E
Bldg 5W
Blue Bell, PA 19422
Phone (484) 664-8181

41 Newport Ave
Ste 250
Christiana, PA 17509

867 York Rd
Gettysburg, PA 17325
Phone (717) 337-3238

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

500 Medical Arts Bldg
Ste 540
Kittanning, PA 16201
Phone (724) 543-4942

700 Medical Arts Bldg
Ste 710
Kittanning, PA 16201
Phone (724) 543-8626

77 Glade Dr
Kittanning, PA 16201
Phone (724) 545-2205

116 Main St
Leechburg, PA 15656
Phone (724) 845-1211

2630 Woodland Rd
Roslyn, PA 19001
Phone (215) 313-9358

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

Hospital & facility affiliations 7

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": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1639330384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 ORCHARD ST",
            "city": "OLD FORGE",
            "state": "PA",
            "postal_code": "185181946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E MOUNTAIN BLVD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187110027",
            "telephone_number": "570-808-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRIERO",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "OS016295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.