Individual provider Active NPI

Jennifer Ann Geishauser, PA-C

  • Physician Assistant
  • Altoona, PA
National Provider Identifier
1669433728
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA002683L Issued in PA
Practice address
2907 Pleasant Valley Blvd
James E Van Zandt Medical Center
Altoona, PA 16602
Phone
(814) 940-7876
Fax
(814) 940-7885
NPI assigned
Mar 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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 MA002683L PA Primary

Addresses

Primary practice location

2907 Pleasant Valley Blvd
James E Van Zandt Medical Center
Altoona, PA 16602

Mailing address

2907 Pleasant Valley Blvd
James E Van Zandt Medical Center
Altoona, PA 16602
Phone (814) 940-7876

Other identifiers 1

IdentifierTypeStateIssuer
1451286OtherPAHIGHMARK

Other names 1

  • Jennifer Ann Weaver Former name

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
I20061002000532 PA Practitioner - Physician Assistant 9537164207 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona Regional Health Services, Inc CurrentSince Feb 9, 1999 Accepting new patients
Blair Medical Associates Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1414 8th Ave
Altoona, PA 16602
Phone (814) 684-0846

1414 8th Ave
#A
Altoona, PA 16602

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

Organizations & group practices 3

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1669433728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 PLEASANT VALLEY BLVD",
            "address_2": "JAMES E VAN ZANDT MEDICAL CENTER",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "16602",
            "telephone_number": "814-940-7876",
            "fax_number": "814-940-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 PLEASANT VALLEY BLVD",
            "address_2": "JAMES E VAN ZANDT MEDICAL CENTER",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "16602",
            "telephone_number": "814-940-7876",
            "fax_number": "814-940-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEISHAUSER",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA002683L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1451286",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WEAVER",
            "middle_name": "ANN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.