Individual provider Active NPI

Jorden Leigh Eutsey, PA-C

  • Physician Assistant
  • Rostraver Township, PA
National Provider Identifier
1992269849
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
800 Plaza Dr Ste 400
Rostraver Township, PA 15012-4019
Phone
(724) 379-5802
Fax
(724) 823-0286
NPI assigned
Jan 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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 Primary

Addresses

Primary practice location

800 Plaza Dr Ste 400
Rostraver Township, PA 15012-4019

Mailing address

800 Plaza Dr Ste 400
Rostraver Township, PA 15012-4019
Phone (724) 379-5802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190319001864 PA Practitioner - Physician Assistant 8426398074 Reassigns benefits to 1 organization
I20230801001663 TX Practitioner - Physician Assistant 8426398074 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Integrative Medical Group PLLC 9 clinicians

Practice addresses (Care Compare)

6836 Bee Caves Rd
Suite 200
Austin, TX 78746-5059
Phone (512) 442-2727

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monvale Orthopedics, Inc. CurrentSince May 25, 2021 Accepting new patients
Mon Vale Orthopedic Group, Inc. CurrentSince May 25, 2021 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Texas Children'S Hospital Past Accepting new patients

Locations

1145 Bower Hill Rd
Ste 301
Pittsburgh, PA 15243
Phone (412) 276-7022

800 Plaza Dr
Ste 400
Rostraver Township, PA 15012
Phone (724) 379-5802

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": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1992269849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PLAZA DR STE 400",
            "city": "ROSTRAVER TOWNSHIP",
            "state": "PA",
            "postal_code": "150124019",
            "telephone_number": "724-379-5802",
            "fax_number": "724-823-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PLAZA DR STE 400",
            "city": "ROSTRAVER TOWNSHIP",
            "state": "PA",
            "postal_code": "150124019",
            "telephone_number": "724-379-5802",
            "fax_number": "724-823-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUTSEY",
        "first_name": "JORDEN",
        "middle_name": "LEIGH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rostraver Township, PA

Sources for this page

Verify at the official NPI Registry.