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JENNIFER ELIZABETH LIGHT DIEP
NPI 1356784573
Family Medicine in Danville, PA

Active since April 08, 2013PECOS Enrolled
100 N ACADEMY AVE, DANVILLE, PA 17822(570) 271-6211 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 14, 2023, Aug 31, 2016 (2 updates tracked since 2016).

About Jennifer Elizabeth Light Diep NPPES

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

JENNIFER ELIZABETH LIGHT DIEP (NPI 1356784573) is an individual family medicine provider in Danville, Pennsylvania, licensed in Pennsylvania (MD457969) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1356784573
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJENNIFER ELIZABETH LIGHT DIEP
Location Address100 N ACADEMY AVEDanville, PA 17822-1339
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144
Phone(570) 271-6211
Sole ProprietorNo
Enumeration DateApril 8, 2013
Last NPPES UpdateAugust 14, 20232 updates tracked since enumeration
NPPES CertifiedAugust 14, 2023
✔ NPI 1356784573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in PA · MD457969✔ Licensed in MD · D97054
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
100 N ACADEMY AVE, Danville, PA 17822
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Other Names 1

Former Name (1)Jennifer Elizabeth Light

Secondary Practice Location 1

Location 1600 N Wolfe StBaltimore, MD 21287-0005 · Phone (410) 955-5000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Elizabeth Light Diep 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jennifer Diep reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Johns Hopkins University
105 mi
Ophthalmology
4692 MILLENNIUM DRIVE, SUITE 200
Belcamp, MD 21017
  • Reassigned Medicare billing, Maryland enrollment
  • 4,483 clinicians in this Medicare group
NPI 1376342774 (410) 000-0000
Children's Hospital Los Angeles Medical Group, Inc.
2,315 mi
Multi-Specialty
4650 SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
  • 1,281 clinicians in this Medicare group
NPI 1265530653 (323) 361-2337

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17822 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. TARA JEAN LOUX MD
Surgery (Pediatric Surgery)
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 214-7967
MS. DENISE K HACKMAN RD, LDN
Dietitian, Registered
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-5332
DR. DANIEL CARROLL GEARY MD
Emergency Medicine
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-6212
MS. MONISA DEANNE WAGNER
Physician Assistant
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-7910
JESSICA LYNN CARNEY
Pediatrics
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-7910
CHRISTIE BUONPANE
Surgery (Pediatric Surgery)
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-6211
MAURA ELIZABETH GABLE D.O.
Pediatrics (Neonatal-Perinatal Medicine)
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-7910
ROSLYN MARIE FEASTER
Nurse Anesthetist, Certified Registered
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-6211

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 Jennifer Diep's NPI number?

The NPI number for Jennifer Diep is 1356784573. It was assigned to this individual provider in the NPPES registry on April 8, 2013. The provider is also known as Jennifer Elizabeth Light.

Where is Jennifer Diep located?

Jennifer Diep practices at 100 N Academy Ave, Danville, PA 17822. The listed phone number is (570) 271-6211.

What is Jennifer Diep's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jennifer Diep enrolled in Medicare?

Yes. Jennifer Diep is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jennifer Diep's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Diep reassigns Medicare benefits to 2 organizations: Johns Hopkins University (Belcamp, MD) and Children's Hospital Los Angeles Medical Group, Inc. (Los Angeles, CA). Each 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 Jennifer Diep's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Diep was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.