1. Home
  2. Directory
  3. Pennsylvania
  4. Warren
  5. Family Medicine
  6. NPI Profile

JAY E ENDRES MDPC
NPI 1780875757
Family Medicine in Warren, PA

Active since August 06, 2007
12 ELM ST, WARREN, PA 16365(814) 723-3520(814) 726-2988 Get Directions Write a Review

NPPES record last updated: August 6, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jay E Endres Mdpc NPPES

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

JAY E ENDRES MDPC (NPI 1780875757) is a healthcare organization registered as a family medicine in Warren, Pennsylvania and active in the NPI registry since August 2007. The organization lists Nancy J Endres, Corporate Treasurer, as its authorized official.

NPPES Registry Identity

NPI1780875757
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJAY E ENDRES MDPC
Location Address12 ELM STWarren, PA 16365-2808
Mailing Address12 Elm StWarren, PA 16365-2808 · (814) 723-3520 · Fax (814) 726-2988
Phone(814) 723-3520
Fax(814) 726-2988
Organization SubpartNo
Authorized OfficialNancy J EndresCorporate Treasurer · (814) 723-3520
Enumeration DateAugust 6, 2007
✔ NPI 1780875757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD039470L
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12 ELM ST, Warren, PA 16365
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN040600PA
Medicare UPINB14540PA
Medicare PIN422220PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jay E Endres Mdpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Jay E Endres Mdpc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Jay Endres, MD
Family Practice
NPI 1073581948
12 ELM ST
Warren, PA 16365
(814) 723-3520
✔ PECOS✔ Accepts MedicareSame address
Jill Gorton, CRNP
Nurse Practitioner
NPI 1255531489
1885 MARKET ST
Warren, PA 16365
(814) 726-4047
✔ PECOS✔ Accepts Medicare2.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jay E Endres Mdpc's NPI number?

The NPI number for Jay E Endres Mdpc is 1780875757. It was assigned to this organization in the NPPES registry on August 6, 2007.

Where is Jay E Endres Mdpc located?

Jay E Endres Mdpc is located at 12 Elm St, Warren, PA 16365. The listed phone number is (814) 723-3520.

What is Jay E Endres Mdpc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jay E Endres Mdpc enrolled in Medicare?

Yes. Jay E Endres Mdpc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jay E Endres Mdpc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Jay E Endres Mdpc, in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jay E Endres Mdpc was last updated on August 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.