MARTENE JACQUELINE IMBODEN PAC
NPI 1992212708
Physician Assistant - Surgical in Fountain Hill, PA
About Martene Jacqueline Imboden Pac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARTENE JACQUELINE IMBODEN PAC (NPI 1992212708) is an individual surgical provider in Fountain Hill, Pennsylvania, licensed in Pennsylvania (MA059556) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fountain Hill.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Martene Jacqueline Imboden Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FOUNTAIN HILL, PA 18015
FOUNTAIN HILL, PA 18015
FOUNTAIN HILL, PA 18015
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 Martene Imboden's NPI number?
The NPI number for Martene Imboden is 1992212708. It was assigned to this individual provider in the NPPES registry on January 2, 2018.
Where is Martene Imboden located?
Martene Imboden practices at 701 Ostrum St Ste 603, Fountain Hill, PA 18015. The listed phone number is (484) 526-3990.
What is Martene Imboden's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Martene Imboden enrolled in Medicare?
Yes. Martene Imboden is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Martene Imboden was last updated on January 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Martene Jacqueline Imboden, PAC · NPI 1992212708
Surgical physician in Fountain Hill, Pennsylvania. Individual provider, active in the CMS NPPES registry since January 2, 2018.
## Identity
- **NPI:** 1992212708 (Entity type: Individual)
- **Enumerated:** January 2, 2018
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** MA059556 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 701 OSTRUM ST STE 603, Fountain Hill, PA 18015-1184
- **Phone:** (484) 526-3990
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** January 8, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1992212708) · Data from the CMS NPPES public registry.