JACKI RENEE DEPANFILIS PA-C
NPI 1245583665
Physician Assistant - Medical in Ridgway, PA

Q: What is Jacki Depanfilis's NPI number?

The NPI number for Jacki Depanfilis is 1245583665. It was assigned to this individual provider in the NPPES registry on October 23, 2012. The provider is also known as Jacki Renee Davison Pa-C.

Q: What is Jacki Depanfilis'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 Jacki Depanfilis was last updated on April 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 October 23, 2012PECOS Enrolled

104 METOXET ST, SUITE A, RIDGWAY, PA 15853(814) 772-8122(814) 772-7278 Get Directions Write a Review

NPPES record last updated: April 27, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jacki Renee Depanfilis Pa-c NPPES

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

JACKI RENEE DEPANFILIS PA-C (NPI 1245583665) is an individual medical provider in Ridgway, Pennsylvania, licensed in Pennsylvania (MA055834) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245583665

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameJACKI RENEE DEPANFILISCredential: PA-C

Location Address104 METOXET ST, SUITE ARidgway, PA 15853-1932

Mailing Address104 Metoxet St, Suite ARidgway, PA 15853-1932 · (814) 772-8122 · Fax (814) 772-7278

Phone(814) 772-8122

Fax(814) 772-7278

Sole ProprietorNo

Enumeration DateOctober 23, 2012

Last NPPES UpdateApril 27, 2016

✔ NPI 1245583665 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 · MA055834

104 METOXET ST, Ridgway, PA 15853

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Other Names 1

Former Name (1)Jacki Renee Davison Pa-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacki Renee Depanfilis Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers12 claims18 services$6.71 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

BRITTANY JAMES GEITNER PA-C

Physician Assistant