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JACQUELINE ELIZABETH MCBRIDE PA-C
NPI 1760220453
Physician Assistant - Medical in Wilkes Barre, PA

Active since July 17, 2024PECOS Enrolled
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711(570) 808-7300 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2024, Jul 17, 2024 (2 updates tracked since 2024).

About Jacqueline Elizabeth Mcbride Pa-c NPPES

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

JACQUELINE ELIZABETH MCBRIDE PA-C (NPI 1760220453) is an individual medical provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MA065710) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760220453
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJACQUELINE ELIZABETH MCBRIDECredential: PA-C
Location Address1000 E MOUNTAIN BLVDWilkes Barre, PA 18711-0001
Mailing Address189 Marimar DriveOld Forge, PA 18518
Phone(570) 808-7300
Sole ProprietorNo
Enumeration DateJuly 17, 2024
Last NPPES UpdateFebruary 10, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2026
✔ NPI 1760220453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · MA065710
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License MA065710 (PA)
1000 E MOUNTAIN BLVD, Wilkes Barre, PA 18711
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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)

Jacqueline Elizabeth Mcbride Pa-c 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. KEVIN P BURKHARDT
Audiologist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7923
EVA VAISHNAV DO
Internal Medicine (Cardiovascular Disease)
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-6020
DR. WALTER MIECZKOWSKI III
Pharmacist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7300
SARAH EILEEN HELWIG CRNP
Nurse Practitioner
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-2338
STACY KANDRAC
Pharmacist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7701
VANESSA ANNE MARKLE PHARMACIST
Pharmacist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7754
JEFFERSON WATERS
Student in an Organized Health Care Education/Training Program
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7300
DR. RICHARD M. SOMMA M.D.
Psychiatry & Neurology (Neurology)
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 820-6028

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 Jacqueline Mcbride's NPI number?

The NPI number for Jacqueline Mcbride is 1760220453. It was assigned to this individual provider in the NPPES registry on July 17, 2024.

Where is Jacqueline Mcbride located?

Jacqueline Mcbride practices at 1000 E Mountain Blvd, Wilkes Barre, PA 18711. The listed phone number is (570) 808-7300.

What is Jacqueline Mcbride's specialty?

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

Is Jacqueline Mcbride enrolled in Medicare?

Yes. Jacqueline Mcbride is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Mcbride was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.