Jennifer Edna Pierce, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA051203 Issued in PA

Practice address

1100 Meade St
Dunmore, PA 18512-3169

Phone

(570) 342-3675

Fax

(570) 342-3316

NPI assigned

Jul 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Hematology and Oncology Associates of Northeastern PA, PC

  • Hematology & Oncology Physician
  • Dunmore, PA
  • NPI 1164538724

  PA

  Medicare reassignment
• Luzerne Wyoming County Mental Health Center #1

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wilkes Barre, PA
  • NPI 1487774824
  NPD (past)
• Luzerne Wyoming County Mental Health Center #1

  • Psychiatric Hospital
  • Kingston, PA
  • NPI 1861425159
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1699798181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MEADE ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185123169",
            "telephone_number": "570-342-3675",
            "fax_number": "570-342-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MEADE ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185123169",
            "telephone_number": "570-342-3675",
            "fax_number": "570-342-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "JENNIFER",
        "middle_name": "EDNA",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Albert Peters, MD
• Andrea Mary Petitto Long, PHARMD
• PHHC Scranton Hospice, LLC
• PHHC Scranton, LLC
• Joseph F Philbin, MD
• Maura Pinto, LPC
• Thaddeus A Piotrowski, M.D.
• Angelica Irene Plappert
• Vincent Pollino, MD
• Kellen NA Povanda I, LPN

• All providers in Dunmore, PA
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.