Individual provider Active NPI

Jennifer L McDanel, P.A.

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1932170164
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA002008 Issued in PA
Practice address
4815 Liberty Ave Ste M54
Pittsburgh, PA 15224-2156
Phone
(412) 621-1818
Fax
(412) 621-4337
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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 OA002008 PA Primary

Addresses

Primary practice location

4815 Liberty Ave Ste M54
Pittsburgh, PA 15224-2156

Mailing address

4815 Liberty Ave Ste M54
Pittsburgh, PA 15224-2156
Phone (412) 621-1818

Other identifiers 1

IdentifierTypeStateIssuer
090636JDMOtherMEDICARE

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
I20050518000313 PA Practitioner - Physician Assistant 5991746166 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OA002008PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc. CurrentSince Aug 1, 2013 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Aug 1, 2013 Accepting new patients
Allegheny Clinic CurrentSince Jun 20, 2022 Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

870 Weatherwood Ln
Ste 1
Greensburg, PA 15601
Phone (724) 850-3150

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

2580 Haymaker Rd
Ste 201
Monroeville, PA 15146
Phone (412) 856-6079

4815 Liberty Ave
Ste M54
Pittsburgh, PA 15224
Phone (412) 621-1818

Interoperability endpoints

  • Direct secure messaging: jmcdanel528803@direct.ahn.org

Organizations & group practices 6

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1932170164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE STE M54",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "412-621-1818",
            "fax_number": "412-621-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE STE M54",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "412-621-1818",
            "fax_number": "412-621-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANEL",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA002008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "090636JDM",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.