JACKI RENEE DEPANFILIS PA-C
NPI 1245583665
Physician Assistant - Medical in Ridgway, PA
NPI Status: Active since October 23, 2012
Contact Information
104 METOXET ST
SUITE A
RIDGWAY, PA
ZIP 15853
Phone: (814) 772-8122
Fax: (814) 772-7278
- Individual
- Female
- Physician Assistant
- Medical
- PECOS Enrolled
About JACKI DEPANFILIS
This page provides the complete NPI Profile along with additional information for Jacki Depanfilis, a primary care provider established in Ridgway, Pennsylvania with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1245583665 assigned on October 2012. The practitioner's primary taxonomy code is 363AM0700X with license number MA055834 (PA). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1245583665
- Provider Name
- JACKI RENEE DEPANFILIS PA-C
- Other Name
- JACKI RENEE DAVISON PA-C
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 104 METOXET ST SUITE A RIDGWAY, PA 15853
- Location Phone
- (814) 772-8122
- Location Fax
- (814) 772-7278
- Mailing Address
- 104 METOXET ST SUITE A RIDGWAY, PA 15853
- Mailing Phone
- (814) 772-8122
- Mailing Fax
- (814) 772-7278
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-23-2012
- Last Update Date
- 04-27-2016
- Code Navigator
A primary care provider (PCP) like Jacki Depanfilis sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- MA055834
- License State
- PA
Medicare Participation & PECOS Enrollment Status
Jacki Depanfilis is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
4 DME suppliers used 12 Medicare Claims 18 Services Paid
Reviews for JACKI RENEE DEPANFILIS PA-C
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 4 | 5 | 5 | 8 | 3 | 6 | 6 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 10 | 8 | 6 | 6 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 1 + 0 + 8 + 6 + 6 + 1 + 2 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1245583665 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1407857774 | JOSEPH G COROSO M.D. Individual | Family Medicine | 104 METOXET ST RIDGWAY, PA 15853 (814) 788-5555 |
| 1760859540 | DAVID CICIONE Individual | Physical Therapist | 104 METOXET ST RIDGWAY, PA 15853 (814) 788-5534 |
| 1942677679 | MR. ANDREW JOHN DORNISCH P.T. Individual | Physical Therapist | 104 METOXET ST RIDGWAY, PA 15853 (814) 788-5534 |
| 1609242569 | DUBOIS REG MED CTR - PENN HIGHLANDS DUBOIS Q-CARE/FAMILY MED RIDGEWAY Organization | Family Medicine | 104 METOXET ST RIDGWAY, PA 15853 (814) 371-2200 |
| 1356338743 | ELK REGIONAL PROFESSIONAL GROUP, INC. Organization | Family Medicine | 104 METOXET ST RIDGWAY, PA 15853 (814) 788-5456 |
| 1073989463 | DUBOIS REGIONAL MEDICAL CENTER Organization | Family Medicine | 104 METOXET ST RIDGWAY, PA 15853 (814) 772-8122 |
| 1164189221 | BRITTANY JAMES GEITNER PA-C Individual | Physician Assistant | 104 METOXET ST RIDGWAY, PA 15853 (814) 788-5555 |
| 1235704701 | KATIE ELIZABETH KERR Individual | Nurse Practitioner (Family) | 104 METOXET ST RIDGWAY, PA 15853 (814) 772-8122 |
| 1316477656 | TROY TEMPLETON PA Individual | Physician Assistant | 104 METOXET ST RIDGWAY, PA 15853 (814) 772-8122 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245583665, enumerated in the NPI registry as an "individual" on October 23, 2012
The provider is located at 104 Metoxet St Suite A Ridgway, Pa 15853 and the phone number is (814) 772-8122
The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on October 23, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.