Active NPI
Jenna Marie Kunsman, PA-C
- Physician Assistant
- Bethlehem, PA
National Provider Identifier
1881239127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA061070
- Practice address
- 940 N New St
Bethlehem, PA 18018-2756 - Phone
- (610) 861-9804
- Fax
- (610) 861-9804
- NPI assigned
- Nov 11, 2019
- Last updated
- Aug 14, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA061070 | PA | Primary |
Addresses
Primary practice location
940 N New St
Bethlehem, PA 18018-2756
Mailing address
940 N New St
Bethlehem, PA 18018-2756
Phone (610) 861-9804
Other practice location 1
1342 Chelsea Ave
Bethlehem, PA 18018-2459
Phone (610) 861-9469
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316986763 | Other | PA | COMMERCIAL. CAPITAL, AETNA |
Other names 1
- Jenna Marie Weidner
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
190 Brodhead Rd
Suite 205
Bethlehem, PA 18017-8617
Phone (610) 866-2010
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA061070 | PA | MD | Physician Assistant |
Organizations & group practices 1
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.
-
- Dermatology Physician
- Bethlehem, PA
- NPI 1316986763
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Luke's Hospital-Sacred Heart Campus
- General Acute Care Hospital
- Allentown, PA
- NPI 1366011413
-
dba St. Luke's Hospital - Anderson Campus
- General Acute Care Hospital
- Easton, PA
- NPI 1376339226
-
dba St. Luke's Hospital-Lehighton Campus
- General Acute Care Hospital
- Lehighton, PA
- NPI 1528737988
-
- General Acute Care Hospital
- Bethlehem, PA
- NPI 1013933175
-
dba St. Luke's Hospital - Allentown Campus
- General Acute Care Hospital
- Allentown, PA
- NPI 1548293954
-
dba St. Luke's Partial Hospitalization Program
- Adult Mental Health Clinic/Center
- Lehighton, PA
- NPI 1962094920
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1881239127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 N NEW ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180182756",
"telephone_number": "610-861-9804",
"fax_number": "610-866-4359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 N NEW ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180182756",
"telephone_number": "610-861-9804",
"fax_number": "610-861-9804"
}
],
"practiceLocations": [
{
"address_1": "1342 Chelsea Ave",
"address_purpose": "LOCATION",
"city": "Bethlehem",
"state": "PA",
"postal_code": "180182459",
"country_code": "US",
"telephone_number": "610-861-9469",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUNSMAN",
"first_name": "JENNA",
"middle_name": "MARIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-11",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA061070",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL. CAPITAL, AETNA",
"identifier": "1316986763",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNA",
"last_name": "WEIDNER",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.