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KATIE JACKLEY PA-C
NPI 1184680167
Physician Assistant - Surgical in Pittsburgh, PA

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
320 E NORTH AVE STE 208, PITTSBURGH, PA 15212(412) 359-6200(412) 359-6617 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katie Jackley Pa-c NPPES

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

KATIE JACKLEY PA-C (NPI 1184680167) is an individual surgical provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MA051828) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Heritage Valley Sewickley, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1184680167
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKATIE JACKLEYCredential: PA-C
Location Address320 E NORTH AVE STE 208Pittsburgh, PA 15212-4756
Mailing Address320 E North Ave Ste 208Pittsburgh, PA 15212-4756 · (412) 359-6200 · Fax (412) 359-6617
Phone(412) 359-6200
Fax(412) 359-6617
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateApril 26, 2006
Last NPPES UpdateJuly 28, 2021
NPPES CertifiedJuly 28, 2021
✔ NPI 1184680167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in PA · MA051828✔ Licensed in CA · PA18658
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA18658 (CA), MA051828 (PA)
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA18658 (CA)
320 E NORTH AVE STE 208, Pittsburgh, PA 15212
Open in Google Maps ↗

Other Identifiers 1

Other11680171Caqh

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

Katie Jackley 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 ID8325003908
PECOS Enrollment IDI20041123000335
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 2

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.
29 services28 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.
24 services24 patients

Hospital Affiliations CMS Care Compare 5

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

Heritage Valley Sewickley

Acute Care Hospitals · Sewickley, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390037
Location720 Blackburn RoadSewickley, PA 15143 · Allegheny County
Emergency services

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390050
Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County
Emergency services

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390265
Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County
Emergency services Birthing friendly

Grove City Medical Center

Acute Care Hospitals · Grove City, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390266
Location631 North Broad Street Ext.Grove City, PA 16127 · Mercer County
Emergency services

Ahn Wexford Hospital

Acute Care Hospitals · Wexford, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390334
Location12351 Perry HighwayWexford, PA 15090 · Allegheny County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

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.

JULIA ANNE BALANDIAT PA-C
Physician Assistant
320 E NORTH AVE STE 208
PITTSBURGH, PA 15212
Allegheny County (412) 359-6200
NOAH HEINRICH
Physician Assistant
320 E NORTH AVE STE 208
PITTSBURGH, PA 15212
Allegheny County (412) 359-6200
ALISON C SLINCHAK PA-C
Physician Assistant
320 E NORTH AVE STE 208
PITTSBURGH, PA 15212
Allegheny County (412) 359-6200
AMITABH GUPTA MD
Neurological Surgery
320 E NORTH AVE STE 208
PITTSBURGH, PA 15212
Allegheny County (412) 359-6200
RUSSELL MITESH CEREJO M.D.
Psychiatry & Neurology (Neurology)
320 E NORTH AVE STE 208
PITTSBURGH, PA 15212
Allegheny County (412) 359-8850
ALLEGHENY CLINIC
Neurological Surgery
320 E NORTH AVE STE 208
PITTSBURGH, PA 15212
Allegheny County (412) 359-6200
ABIGAIL G CRUM PA-C
Physician Assistant (Surgical)
320 E NORTH AVE STE 208
PITTSBURGH, PA 15212
Allegheny County (412) 359-6200
KATHERINE MICHELLE BERRY MD
Neurological Surgery
320 E NORTH AVE STE 208
PITTSBURGH, PA 15212
Allegheny County (412) 359-6200

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 Katie Jackley's NPI number?

The NPI number for Katie Jackley is 1184680167. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Katie Jackley located?

Katie Jackley practices at 320 E North Ave Ste 208, Pittsburgh, PA 15212. The listed phone number is (412) 359-6200.

What is Katie Jackley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Katie Jackley enrolled in Medicare?

Yes. Katie Jackley 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.

Is Katie Jackley affiliated with any hospitals?

According to CMS data, Katie Jackley is affiliated with Heritage Valley Sewickley, Allegheny General Hospital, Jefferson Hospital, Grove City Medical Center and Ahn Wexford Hospital.

When was this NPI record last updated?

The NPPES record for Katie Jackley was last updated on July 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.