JACQULIN FABINA
NPI 1730409509
Family Medicine in Williamsburg, PA
About Jacqulin Fabina NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQULIN FABINA (NPI 1730409509) is an individual family medicine provider in Williamsburg, Pennsylvania, licensed in Pennsylvania (OS015975) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Upmc Altoona, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2010).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jacqulin Fabina 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.
Medicare Billing Reassignment
Medicare enrollment records show Jacqulin Fabina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Williamsburg, PA 16693
- Reassigned Medicare billing, Pennsylvania enrollment
- Also billed through NPI 1487604179 (Pennsylvania)
- 28 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Upmc Altoona
Acute Care Hospitals · Altoona, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 16693 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WILLIAMSBURG, PA 16693
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 Jacqulin Fabina's NPI number?
The NPI number for Jacqulin Fabina is 1730409509. It was assigned to this individual provider in the NPPES registry on June 3, 2010.
Where is Jacqulin Fabina located?
Jacqulin Fabina practices at 306 Plum St, Williamsburg, PA 16693. The listed phone number is (814) 832-3405.
What is Jacqulin Fabina's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jacqulin Fabina enrolled in Medicare?
Yes. Jacqulin Fabina 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.
Which organization bills Medicare for Jacqulin Fabina's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqulin Fabina reassigns Medicare benefits to Upmc Altoona (Williamsburg, PA). The 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 Jacqulin Fabina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jacqulin Fabina affiliated with any hospitals?
According to CMS data, Jacqulin Fabina is affiliated with Upmc Altoona.
When was this NPI record last updated?
The NPPES record for Jacqulin Fabina was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Jacqulin Fabina · NPI 1730409509
Family Medicine physician in Williamsburg, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 3, 2010.
## Identity
- **NPI:** 1730409509 (Entity type: Individual)
- **Enumerated:** June 3, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** OS015975 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 306 PLUM ST, Williamsburg, PA 16693-1116
- **Phone:** (814) 832-3405
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Upmc Altoona (NPI 1437100765, Williamsburg, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lake Erie College Of Osteopathic Medicine, Erie, class of 2010
## Record status
- **NPPES last updated:** March 25, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1730409509) · Data from the CMS NPPES public registry.