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JACLYN PETRICHEVICH PA-C
NPI 1174373336
Physician Assistant - Medical in Pittsburgh, PA

Active since March 22, 2024PECOS EnrolledAccepts Medicare Assignment
300 HALKET ST STE 1731, PITTSBURGH, PA 15213(412) 641-1000 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jaclyn Petrichevich Pa-c NPPES

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

JACLYN PETRICHEVICH PA-C (NPI 1174373336) is an individual medical provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MA065457) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wexford, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1174373336
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJACLYN PETRICHEVICHCredential: PA-C
Location Address300 HALKET ST STE 1731Pittsburgh, PA 15213-3108
Mailing Address146 Twilight DrCanonsburg, PA 15317-0505
Phone(412) 641-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 22, 2024
NPPES CertifiedMarch 22, 2024
✔ NPI 1174373336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · MA065457
300 HALKET ST STE 1731, Pittsburgh, PA 15213
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Secondary Practice Location 1

Location 1100 Bradford Rd Ste 310Wexford, PA 15090-8487 · Phone (724) 940-5423

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

Jaclyn Petrichevich 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 ID9133569866
PECOS Enrollment IDI20240429002704
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 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.
139 services115 patients
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.
63 services55 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
11 services11 patients

Other Providers at the Same Location NPPES 3

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

DR. ANDREW JORDAN MAUL MD, MBA
Internal Medicine
300 HALKET ST STE 1731
PITTSBURGH, PA 15213
Allegheny County (412) 756-6014
Q PHARMA INC
Non-Pharmacy Dispensing Site
300 HALKET ST STE 1731
PITTSBURGH, PA 15213
Allegheny County (412) 422-5970
ADAM VANLIESHOUT
Physician Assistant (Medical)
300 HALKET ST STE 1731, SUITE 1731
PITTSBURGH, PA 15213
Allegheny County (412) 641-1000

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 Jaclyn Petrichevich's NPI number?

The NPI number for Jaclyn Petrichevich is 1174373336. It was assigned to this individual provider in the NPPES registry on March 22, 2024.

Where is Jaclyn Petrichevich located?

Jaclyn Petrichevich practices at 300 Halket St Ste 1731, Pittsburgh, PA 15213. The listed phone number is (412) 641-1000.

What is Jaclyn Petrichevich's specialty?

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

Is Jaclyn Petrichevich enrolled in Medicare?

Yes. Jaclyn Petrichevich 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.

When was this NPI record last updated?

The NPPES record for Jaclyn Petrichevich was last updated on March 22, 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.