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JODY LIN MRAKOVICH PA-C
NPI 1952368342
Physician Assistant - Medical in Middletown, PA

Active since April 28, 2006PECOS Enrolled
1100 SPRING GARDEN DR, MIDDLETOWN, PA 17057(717) 985-9091(717) 985-6909 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 28, 2022, Sep 25, 2018 (2 updates tracked since 2018).

About Jody Lin Mrakovich Pa-c NPPES

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

JODY LIN MRAKOVICH PA-C (NPI 1952368342) is an individual medical provider in Middletown, Pennsylvania, licensed in Pennsylvania (MA001689L) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952368342
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJODY LIN MRAKOVICHCredential: PA-C
Location Address1100 SPRING GARDEN DRMiddletown, PA 17057-3257
Mailing Address1100 Spring Garden Dr Ste 3Middletown, PA 17057-3257 · (717) 985-9091 · Fax (717) 985-6909
Phone(717) 985-9091
Fax(717) 985-6909
Sole ProprietorNo
Enumeration DateApril 28, 2006
Last NPPES UpdateSeptember 28, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2022
✔ NPI 1952368342 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
Licenses✔ Licensed in PA · MA001689L✔ Licensed in PA · OA000187L
Also ListedPhysician AssistantTaxonomy 363A00000X · License MA001689L (PA)
1100 SPRING GARDEN DR, Middletown, PA 17057
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Other Names 1

Former Name (1)Jody Lin Truesdale

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jody Lin Mrakovich 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRUCE STEWART BASHLINE DO
Family Medicine
1100 SPRING GARDEN DR
MIDDLETOWN, PA 17057
Dauphin County (717) 985-9091

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 Jody Mrakovich's NPI number?

The NPI number for Jody Mrakovich is 1952368342. It was assigned to this individual provider in the NPPES registry on April 28, 2006. The provider is also known as Jody Lin Truesdale.

Where is Jody Mrakovich located?

Jody Mrakovich practices at 1100 Spring Garden Dr, Middletown, PA 17057. The listed phone number is (717) 985-9091.

What is Jody Mrakovich's specialty?

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

Is Jody Mrakovich enrolled in Medicare?

Yes. Jody Mrakovich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jody Mrakovich was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.