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JEREMY MARGARETTE ANTERO VIDAL MD
NPI 1619439494
Student in an Organized Health Care Education/Training Program in Harpers Ferry, WV

Active since April 02, 2019PECOS Enrolled
171 TAYLOR ST, HARPERS FERRY, WV 25425(304) 535-6343(304) 596-2840 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 25, 2025, Apr 2, 2019 (2 updates tracked since 2019).

About Jeremy Margarette Antero Vidal Md NPPES

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

JEREMY MARGARETTE ANTERO VIDAL MD (NPI 1619439494) is an individual student in an organized health care education/training program in Harpers Ferry, West Virginia and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619439494
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJEREMY MARGARETTE ANTERO VIDALCredential: MD
Location Address171 TAYLOR STHarpers Ferry, WV 25425-3641
Mailing Address171 Taylor StHarpers Ferry, WV 25425-3641 · (304) 535-6343 · Fax (304) 596-2840
Phone(304) 535-6343
Fax(304) 596-2840
Sole ProprietorNo
Enumeration DateApril 2, 2019
Last NPPES UpdateMarch 25, 20252 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
✔ NPI 1619439494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
171 TAYLOR ST, Harpers Ferry, WV 25425
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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 (PECOS)

Jeremy Margarette Antero Vidal Md 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.

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. BRANT DERWENT BOUCHER MD
Student in an Organized Health Care Education/Training Program
171 TAYLOR ST
HARPERS FERRY, WV 25425
Jefferson County (304) 535-6343
JENNAH SYED DALESSIO MD
Student in an Organized Health Care Education/Training Program
171 TAYLOR ST
HARPERS FERRY, WV 25425
Jefferson County (304) 535-6343
DR. ADRIENNE ZAVALA M.D.
Family Medicine
171 TAYLOR ST
HARPERS FERRY, WV 25425
Jefferson County (304) 535-6343
GISELLE PERRY LPC
Counselor (Professional)
171 TAYLOR ST
HARPERS FERRY, WV 25425
Jefferson County (304) 535-6343
DR. CASSANDRA LEA CLAYBORNE MD
Family Medicine
171 TAYLOR ST, -
HARPERS FERRY, WV 25425
Jefferson County (304) 535-6343
AUDREANNA ELIZABETH JAMES
Student in an Organized Health Care Education/Training Program
171 TAYLOR ST
HARPERS FERRY, WV 25425
Jefferson County (304) 535-6343
ISABELLA BUSHMAN MD
Student in an Organized Health Care Education/Training Program
171 TAYLOR ST
HARPERS FERRY, WV 25425
Jefferson County (304) 535-6343
MARIA FERNANDA KLEIMANN SANCHEZ CERRO MD
Student in an Organized Health Care Education/Training Program
171 TAYLOR ST
HARPERS FERRY, WV 25425
Jefferson County (304) 535-6343

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 Jeremy Margarette Vidal's NPI number?

The NPI number for Jeremy Margarette Vidal is 1619439494. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Where is Jeremy Margarette Vidal located?

Jeremy Margarette Vidal practices at 171 Taylor St, Harpers Ferry, WV 25425. The listed phone number is (304) 535-6343.

What is Jeremy Margarette Vidal's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jeremy Margarette Vidal enrolled in Medicare?

Yes. Jeremy Margarette Vidal is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeremy Margarette Vidal was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.