Individual provider Active NPI

Jacqueline Thieman, PA-C

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1992332167
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA061420 Issued in PA
Practice address
7157 Mary Peck Bond PL
Pittsburgh, PA 15206-1236
Phone
(412) 661-2802
NPI assigned
Mar 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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 MA061420 PA Primary

Addresses

Primary practice location

7157 Mary Peck Bond PL
Pittsburgh, PA 15206-1236

Mailing address

104 N 2ND St Apt 404
Philadelphia, PA 19106-1924

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
I20231208000638 PA Practitioner - Physician Assistant 5395194948 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA061420PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Apr 29, 2024 Accepting new patients
University of Penn-Medical Group CurrentSince Apr 29, 2024 Accepting new patients
Bryn Mawr Medical Specialists Association CurrentSince Oct 3, 2023 Accepting new patients

Locations

825 Old Lancaster Rd
Ste 440
Bryn Mawr, PA 19010
Phone (610) 525-4511

825 Old Lancaster Rd
Ste 320
Bryn Mawr, PA 19010
Phone (610) 524-3800

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": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1992332167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N 2ND ST APT 404",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191061924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7157 MARY PECK BOND PL",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152061236",
            "telephone_number": "412-661-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIEMAN",
        "first_name": "JACQUELINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.