JACKY CHEN PA-C
NPI 1104491265
Physician Assistant - Medical in Mechanicsburg, PA

Q: What is Jacky Chen's NPI number?

The NPI number for Jacky Chen is 1104491265. It was assigned to this individual provider in the NPPES registry on May 21, 2021.

Q: What is Jacky Chen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jacky Chen was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 May 21, 2021PECOS EnrolledAccepts Medicare Assignment

2020 TECHNOLOGY PKWY STE 201, MECHANICSBURG, PA 17050(717) 731-0101(717) 731-8359 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2024, Jul 19, 2023, Jun 21, 2023 and 2 more (5 updates tracked since 2021).

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About Jacky Chen Pa-c NPPES

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

JACKY CHEN PA-C (NPI 1104491265) is an individual medical provider in Mechanicsburg, Pennsylvania, licensed in Pennsylvania (MA064625) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Upmc Carlisle, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104491265

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameJACKY CHENCredential: PA-C

Location Address2020 TECHNOLOGY PKWY STE 201Mechanicsburg, PA 17050-9411

Mailing Address2020 Technology Pkwy Ste 201Mechanicsburg, PA 17050-9411 · (717) 731-0101 · Fax (717) 731-8359

Phone(717) 731-0101

Fax(717) 731-8359

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMay 21, 2021

Last NPPES UpdateMay 8, 20245 updates tracked since enumeration

NPPES CertifiedMay 8, 2024

✔ NPI 1104491265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in PA · MA064625

Also ListedPhysician AssistantTaxonomy 363A00000X · License 12387748-1206 (UT)

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 12387748-1206 (UT)

2020 TECHNOLOGY PKWY STE 201, Mechanicsburg, PA 17050

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Secondary Practice Locations 2

Location 182 S 1100 E Ste 200Salt Lake City, UT 84102-1889 · Phone (801) 290-7152 · Fax (801) 718-0112

Location 2575 N 60 WVineyard, UT 84059-4503 · Phone (917) 803-1767

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Health Plan of the Southwest, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacky Chen Pa-c 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 ID1850781634

PECOS Enrollment IDI20230802000637

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

68 services66 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

14 services14 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Carlisle

Acute Care Hospitals · Carlisle, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390058

Location361 Alexander Spring RoadCarlisle, PA 17015 · Cumberland County

Emergency services Birthing friendly

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390067

Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

ARUN REDDY KANMANTHAREDDY M.D.

Internal Medicine (Interventional Cardiology)