NPIMap

Individual provider Active NPI

Dawn Renee Jeannerat, NP

  • Nurse Practitioner
  • Du Bois, PA
National Provider Identifier
1922471556
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP015559 Issued in PA
Practice address
100 Hospital Ave
Du Bois, PA 15801-1440
Phone
(814) 375-6440
NPI assigned
Nov 4, 2015
Last updated
May 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP015559 PA Primary

Addresses

Primary practice location

100 Hospital Ave
Du Bois, PA 15801-1440

Mailing address

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-4200

Other identifiers 3

IdentifierTypeStateIssuer
103104610MedicaidPA
PTANOtherPA462974
PTANOtherPA2D4789

Other names 1

  • Dawn Kaness Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151222002502 PA Practitioner - Nurse Practitioner 2961703640 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians

Practice addresses (Care Compare)

1 Hospital Dr
Clarion, PA 16214-8501
Phone (724) 285-0823

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.9 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP015559PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dubois Regional Medical Group, PC Nurse Practitioner CurrentSince Feb 4, 2022 Accepting new patients
Dubois Regional Medical Group, PC Nurse Practitioner Current Accepting new patients
Butler Medical Providers CurrentSince Jun 28, 2025 Accepting new patients
Dubois Regional Medical Center CurrentSince Nov 28, 2016 Accepting new patients
Butler Medical Providers CurrentSince Jun 28, 2025 Accepting new patients
Apogee Medical Group of Pennsylvania PC CurrentSince Nov 15, 2015 Accepting new patients
Butler Medical Providers Current Accepting new patients
Apogee Medical Group of Pennsylvania PC CurrentSince Nov 15, 2015 Accepting new patients
Dubois Regional Medical Center Nurse Practitioner CurrentSince Nov 28, 2016 Accepting new patients

Locations

1 Hospital Way
Butler, PA 16001
Phone (412) 492-0800

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

1 Hospital Dr
Clarion, PA 16214
Phone (814) 226-1336

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

145 Hospital Ave
Ste 102
Dubois, PA 15801
Phone (814) 375-6510

1225 Warm Springs Ave
Huntingdon, PA 16652
Phone (814) 643-8206

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1100 Million Dollar Hwy
Saint Marys, PA 15857
Phone (814) 781-5435

611 University Dr
Ste 212
State College, PA 16801
Phone (814) 954-4872

Interoperability endpoints

  • Direct secure messaging: drjeannerat@1285.direct.myezyaccess.com

Organizations & group practices 9

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.

Hospital & facility affiliations 34

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1922471556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-375-4200",
            "fax_number": "814-375-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-375-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEANNERAT",
        "first_name": "DAWN",
        "middle_name": "RENEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-04",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP015559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103104610",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "462974",
            "identifier": "PTAN",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "2D4789",
            "identifier": "PTAN",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "KANESS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.