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PT FAMILY MEDICINE PC
NPI 1962975615
Family Medicine in Jeannette, PA

Active since January 05, 2019CLIA 39D2243430 · Waiver
2057 STATE ROUTE 130, JEANNETTE, PA 15644(724) 527-2700(724) 527-2705 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 9, 2023, Mar 24, 2020, Jan 5, 2019 (3 updates tracked since 2019).

About Pt Family Medicine Pc NPPES

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

PT FAMILY MEDICINE PC (NPI 1962975615) is a healthcare organization registered as a family medicine in Jeannette, Pennsylvania and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through November 17, 2027 and lists Kevin M Wong, Owner, as its authorized official.

NPPES Registry Identity

NPI1962975615
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePT FAMILY MEDICINE PC
Location Address2057 STATE ROUTE 130Jeannette, PA 15644-3801
Mailing Address2057 State Route 130Jeannette, PA 15644-3801 · (724) 527-2700 · Fax (724) 527-2705
Phone(724) 527-2700
Fax(724) 527-2705
Organization SubpartNo
Authorized OfficialKevin M WongOwner · (724) 527-2700
Enumeration DateJanuary 5, 2019
Last NPPES UpdateFebruary 9, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2023
✔ NPI 1962975615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X
2057 STATE ROUTE 130, Jeannette, PA 15644
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Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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)

Pt Family Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Pt Family Medicine PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Jessica Steffey
Nurse Practitioner
NPI 1487453999
2057 ROUTE 130
Jeannette, PA 15644
(724) 527-2700
✔ PECOS✔ Accepts MedicareSame address
Kevin Wong, MD
Family Practice
NPI 1437177193
2057 ROUTE 130
Jeannette, PA 15644
(724) 527-2700
✔ PECOS✔ Accepts MedicareSame address
Michael Wong, DO
Sports Medicine
NPI 1184002537
2057 STATE ROUTE 130
Jeannette, PA 15644
(724) 527-2700
✔ PECOS✔ Accepts MedicareSame address
Alisha Charnesky Shupe, DNP, CRNP
Nurse Practitioner
NPI 1548658271
2686 MONROEVILLE BLVD
Monroeville, PA 15146
(412) 372-3772
✔ PECOS9.4 mi
Kaitlyn Petrakis, CRNP
Nurse Practitioner
NPI 1255839593
310 RODI RD STE 100
Pittsburgh, PA 15235
(412) 242-0777
✔ PECOS✔ Accepts Medicare12 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2243430

Pt Family Medicine, PC · Jeannette, PA
Active · expires Nov 17, 2027
CLIA Number39D2243430
Laboratory TypePhysician Office
Certificate Effective DateNovember 18, 2025
Certificate Expiration DateNovember 17, 2027
Laboratory DirectorDr. Kevin M. Wong
Laboratory Phone(724) 527-2700
Laboratory LocationPt Family Medicine, PC2057 State Route 130, Jeannette, PA 15644
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pt Family Medicine PC's NPI number?

The NPI number for Pt Family Medicine PC is 1962975615. It was assigned to this organization in the NPPES registry on January 5, 2019.

Where is Pt Family Medicine PC located?

Pt Family Medicine PC is located at 2057 State Route 130, Jeannette, PA 15644. The listed phone number is (724) 527-2700.

What is Pt Family Medicine PC's specialty?

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

Is Pt Family Medicine PC enrolled in Medicare?

Yes. Pt Family Medicine PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pt Family Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Pt Family Medicine PC. 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. The largest specialties are Nurse Practitioner (3), Family Practice (1) and Sports Medicine (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pt Family Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2243430) is associated with this NPI, valid through November 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pt Family Medicine PC was last updated on February 9, 2023. 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.