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ELIZABETH DEJAEGHERE PA-C
NPI 1487255279
Physician Assistant - Medical in Erie, PA

Active since November 06, 2020PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 13, 2024, Nov 3, 2023, Nov 6, 2020 (3 updates tracked since 2020).

About Elizabeth Dejaeghere Pa-c NPPES

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

ELIZABETH DEJAEGHERE PA-C (NPI 1487255279) is an individual medical provider in Erie, Pennsylvania, licensed in Pennsylvania (MA066146) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Upmc Hamot, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1487255279
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameELIZABETH DEJAEGHERECredential: PA-C
Location Address120 E 2ND STErie, PA 16507-1537
Mailing Address120 E 2nd StErie, PA 16507-1537 · (814) 877-5600
Phone(814) 877-5600
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 6, 2020
Last NPPES UpdateSeptember 24, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2025
✔ NPI 1487255279 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 · MA066146
120 E 2ND ST, Erie, PA 16507
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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

Elizabeth Dejaeghere 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 ID5597179655
PECOS Enrollment IDI20231011000817
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.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
70 services70 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
66 services66 patients

Hospital Affiliations CMS Care Compare

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

Upmc Hamot

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390063
Location201 State StreetErie, PA 16550 · Erie County
Emergency services Birthing friendly

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.

DANIEL J KINEM DO
Psychiatry & Neurology (Neurology)
120 E 2ND ST, 3RD FLOOR
ERIE, PA 16507
Erie County (814) 877-8000
FLAGSHIP CARDIAC VASCULAR AND THORACIC SURGERY OF ERIE, PC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
120 E 2ND ST
ERIE, PA 16507
Erie County (814) 453-6751
ANNETTE FRANKLIN
Social Worker
120 E 2ND ST
ERIE, PA 16507
Erie County (814) 452-8213
SUSAN TROUTNER
Psychologist (Clinical)
120 E 2ND ST, THIRD FLOOR
ERIE, PA 16507
Erie County (814) 877-8013
SHARON SCULLY CRNP
Nurse Practitioner
120 E 2ND ST, 2ND FLOOR
ERIE, PA 16507
Erie County (814) 456-8980
REGIONAL HEALTH SERVICES, INC.
Podiatrist (Foot & Ankle Surgery)
120 E 2ND ST, 4TH FL
ERIE, PA 16507
Erie County (814) 877-3668
NORTHSHORE PSYCHOLOGICAL ASSOCIATES LLC
Counselor (Mental Health)
120 E 2ND ST
ERIE, PA 16507
Erie County (814) 452-8213
BRIAN DAVID BLAIR CRNP
Nurse Practitioner (Family)
120 E 2ND ST
ERIE, PA 16507
Erie County (814) 452-8300

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 Elizabeth Dejaeghere's NPI number?

The NPI number for Elizabeth Dejaeghere is 1487255279. It was assigned to this individual provider in the NPPES registry on November 6, 2020.

Where is Elizabeth Dejaeghere located?

Elizabeth Dejaeghere practices at 120 E 2nd St, Erie, PA 16507. The listed phone number is (814) 877-5600.

What is Elizabeth Dejaeghere's specialty?

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

Is Elizabeth Dejaeghere enrolled in Medicare?

Yes. Elizabeth Dejaeghere 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 Elizabeth Dejaeghere affiliated with any hospitals?

According to CMS data, Elizabeth Dejaeghere is affiliated with Upmc Hamot.

When was this NPI record last updated?

The NPPES record for Elizabeth Dejaeghere was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.