Individual provider Active NPI

Jenna Leigh Henault, PA-C

  • Physician Assistant
  • Lititz, PA
National Provider Identifier
1922373281
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA055350 Issued in PA
Practice address
1535 Highlands Dr Ste 100
Lititz, PA 17543-7681
Phone
(717) 624-4088
NPI assigned
Mar 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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 MA055350 PA Primary

Addresses

Primary practice location

1535 Highlands Dr Ste 100
Lititz, PA 17543-7681

Mailing address

1535 Highlands Dr Ste 100
Lititz, PA 17543-7681

Other practice location 1

1025 W Harrisburg Pike
Middletown, PA 17057-4848
Phone (717) 944-0491

Other identifiers 1

IdentifierTypeStateIssuer
103152312MedicaidPA

Other names 1

  • Jenna Hakala Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jhenault6884@phsdirect.pinnaclehealth.org

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
I20120418000209 PA Practitioner - Physician Assistant 3274794201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

1535 Highlands Dr
Lititz, PA 17543-7681
Phone (717) 627-4088

2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363

2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA055350PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince May 1, 2012 Accepting new patients
Pinnacle Health Medical Services CurrentSince May 1, 2012 Accepting new patients
Pinnacle Health Medical Services Physician Assistant Past Accepting new patients

Locations

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

1535 Highlands Dr
Ste 100
Lititz, PA 17543
Phone (717) 207-4800

1025 W Harrisburg Pike
Middletown, PA 17057
Phone (717) 702-1135

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.

Hospital & facility affiliations 5

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": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1922373281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 HIGHLANDS DR STE 100",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 HIGHLANDS DR STE 100",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437681",
            "telephone_number": "717-624-4088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 W Harrisburg Pike",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "PA",
            "postal_code": "170574848",
            "country_code": "US",
            "telephone_number": "717-944-0491",
            "fax_number": "717-944-1436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENAULT",
        "first_name": "JENNA",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-19",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103152312",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhenault6884@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "1025 W Harrisburg Pike",
            "city": "Middletown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170574848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "HAKALA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lititz, PA

Sources for this page

Verify at the official NPI Registry.