Individual provider Active NPI

Jennifer Wildpret, D.O.

  • Psychiatry Physician
  • Kittanning, PA
National Provider Identifier
1891984175
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
135027 Issued in NC
Practice address
1 Nolte Dr
Armstrong County Memorial Hospital - 2a
Kittanning, PA 16201-7111
Phone
(724) 543-8500
NPI assigned
Oct 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 135027 NC Primary

Addresses

Primary practice location

1 Nolte Dr
Armstrong County Memorial Hospital - 2a
Kittanning, PA 16201-7111

Mailing address

901 East Brady Street
PBS Mental Health Associates
Butler, PA 16001
Phone (724) 282-1627

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111003000269 PA Practitioner - Osteopathic Manipulative Medicine 4789856451 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
West Virginia School of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PBS Mental Health Associates PCGroup PAC ID 8022068063, 10 clinicians

Practice addresses (Care Compare)

901 E Brady St
Suite 103
Butler, PA 16001-4649
Phone (724) 282-1627

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
135027NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers CurrentSince Nov 1, 2018 Accepting new patients
Butler Medical Providers Current Accepting new patients
Butler Medical Providers CurrentSince Nov 1, 2018 Accepting new patients
PBS Mental Health Associates, P.C. Psychiatry CurrentSince Sep 1, 2011 Accepting new patients

Locations

901 E Brady St
Butler, PA 16001
Phone (724) 282-1737

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

901 E Brady St
Ste 103
Butler, PA 16001
Phone (724) 282-1627

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

Organizations & group practices 4

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": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1891984175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 EAST BRADY STREET",
            "address_2": "PBS MENTAL HEALTH ASSOCIATES",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "16001",
            "telephone_number": "724-282-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NOLTE DR",
            "address_2": "ARMSTRONG COUNTY MEMORIAL HOSPITAL - 2A",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162017111",
            "telephone_number": "724-543-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDPRET",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "135027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kittanning, PA

Sources for this page

Verify at the official NPI Registry.