MS. KERRI A JACK PA
NPI 1407823958
Physician Assistant - Medical in Pittsburgh, PA
About Ms. Kerri A Jack Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KERRI A JACK PA (NPI 1407823958) is an individual medical provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MA002234L) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
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
Ms. Kerri A Jack Pa 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.
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.
PITTSBURGH, PA 15232
PITTSBURGH, PA 15232
PITTSBURGH, PA 15232
PITTSBURGH, PA 15232
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 Kerri Jack's NPI number?
The NPI number for Kerri Jack is 1407823958. It was assigned to this individual provider in the NPPES registry on March 3, 2006.
Where is Kerri Jack located?
Kerri Jack practices at 5115 Centre Ave, Pittsburgh, PA 15232. The listed phone number is (412) 647-2811.
What is Kerri Jack's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Kerri Jack enrolled in Medicare?
Yes. Kerri Jack 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 Kerri Jack was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ms. Kerri A Jack, PA · NPI 1407823958
Medical physician in Pittsburgh, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 3, 2006.
## Identity
- **NPI:** 1407823958 (Entity type: Individual)
- **Enumerated:** March 3, 2006
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** MA002234L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 5115 CENTRE AVE, Pittsburgh, PA 15232-1301
- **Phone:** (412) 647-2811
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** March 30, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1407823958) · Data from the CMS NPPES public registry.