JINA LIBBY DO
NPI 1073173258
Orthopaedic Surgery - Sports Medicine in State College, PA

Q: What is Jina Libby's NPI number?

The NPI number for Jina Libby is 1073173258. It was assigned to this individual provider in the NPPES registry on June 19, 2019.

Q: What is Jina Libby's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Jina Libby was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 19, 2019PECOS EnrolledAccepts Medicare Assignment

143 HOSPITAL DRIVE, STATE COLLEGE, PA 16803(814) 865-3566(142) 354-7808 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 2, 2024, Jun 10, 2020, Jun 19, 2019 (3 updates tracked since 2019).

On this page

About Jina Libby Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JINA LIBBY DO (NPI 1073173258) is an individual sports medicine provider in State College, Pennsylvania, licensed in Pennsylvania (OS024239) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Penn Highlands Huntingdon, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1073173258

Entity TypeIndividualFemale

Primary Taxonomy207XX0005X

Provider Legal NameJINA LIBBYCredential: DO

Location Address143 HOSPITAL DRIVEState College, PA 16803-6706

Mailing Address143 Hospital DriveState College, PA 16803 · (610) 208-4648

Phone(814) 865-3566

Fax(142) 354-7808

Sole ProprietorNo

Medical School CMSLake Erie Col Of Osteo Med At Seton Hill UnivGraduated 2019

Enumeration DateJune 19, 2019

Last NPPES UpdateJuly 23, 20253 updates tracked since enumeration

NPPES CertifiedJuly 15, 2025

✔ NPI 1073173258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in PA · OS024239

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 5151013974 (MI)

Also ListedPhysical Medicine & Rehabilitation · Sports MedicineTaxonomy 2081S0010X · License OS024239 (PA)

143 HOSPITAL DRIVE, State College, PA 16803

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Secondary Practice Locations 3

Location 1235 Wealthy St SEGrand Rapids, MI 49503-5247 · Phone (616) 840-8953

Location 2500 University DrHershey, PA 17033-2360 · Phone (717) 531-5638

Location 3200 Jefferson Ave SE Bldg Ste 305Grand Rapids, MI 49503-4502 · Phone (616) 685-6867

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jina Libby Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840525168

PECOS Enrollment IDI20241205002717

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jina Libby reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Milton S Hershey Medical Center Physicians Group

57 mi

Family Medicine

140 OLD WILLOW MILL RD
Mechanicsburg, PA 17050

Reassigned Medicare billing, Pennsylvania enrollment
2,216 clinicians in this Medicare group

NPI 1235678939 (717) 766-4635

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Penn Highlands Huntingdon

Acute Care Hospitals · Huntingdon, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390056

Location1225 Warm Springs AveHuntingdon, PA 16652 · Huntingdon County

Emergency services

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390256

Location500 University DriveHershey, PA 17033 · Dauphin County

Emergency services Birthing friendly

Mount Nittany Medical Center

Acute Care Hospitals · State College, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390268

Location1800 East Park AveState College, PA 16803 · Centre County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BENJAMIN R PAUL DPT

Physical Therapist

143 HOSPITAL DRIVE, SUITE 112
STATE COLLEGE, PA 16803

Centre County (814) 865-3566

JESSE JULIAN MILLER M.D.

Family Medicine (Sports Medicine)

143 HOSPITAL DRIVE, STE 112
STATE COLLEGE, PA 16803

Centre County (800) 243-1455

JOHN MICHAEL KAY DO

Student in an Organized Health Care Education/Training Program

143 HOSPITAL DRIVE, STE 207
STATE COLLEGE, PA 16803

Centre County (814) 235-2480

CURTIS J BARNES DO

Orthopaedic Surgery

143 HOSPITAL DRIVE, SUITE 112
STATE COLLEGE, PA 16803

Centre County (814) 865-3566

GREGORY G BILLY MD

Physical Medicine & Rehabilitation

143 HOSPITAL DRIVE, STE 112
STATE COLLEGE, PA 16803

Centre County (800) 233-4082

ANKITA NAPHADE DO

Student in an Organized Health Care Education/Training Program

143 HOSPITAL DRIVE
STATE COLLEGE, PA 16803

Centre County (814) 278-4680

ROBERTA L MILLARD MD

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)

143 HOSPITAL DRIVE, STE 112
STATE COLLEGE, PA 16803

Centre County (800) 243-1455

JULIE M. PARKER CRNP

Nurse Practitioner (Adult Health)

143 HOSPITAL DRIVE, SUITE 201
STATE COLLEGE, PA 16803

Centre County (814) 689-3140

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jina Libby's NPI number?

The NPI number for Jina Libby is 1073173258. It was assigned to this individual provider in the NPPES registry on June 19, 2019.

Where is Jina Libby located?

Jina Libby practices at 143 Hospital Drive, State College, PA 16803. The listed phone number is (814) 865-3566.

What is Jina Libby's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Jina Libby enrolled in Medicare?

Yes. Jina Libby is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jina Libby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jina Libby reassigns Medicare benefits to Milton S Hershey Medical Center Physicians Group (Mechanicsburg, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jina Libby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jina Libby affiliated with any hospitals?

According to CMS data, Jina Libby is affiliated with Penn Highlands Huntingdon, Milton S Hershey Medical Center and Mount Nittany Medical Center.

When was this NPI record last updated?

The NPPES record for Jina Libby was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.