Jacob Thomas Witmer, PA-C
Physician Assistant in Mechanicsburg, PA. Individual provider (NPI-1).
NPI number1548096076
StatusActive
Last updated in NPPESSep 23, 2024
Details
- NPI
- 1548096076
- Entity type
- Individual (NPI-1)
- Name
- Jacob Thomas Witmer
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 11, 2024
- Certification date
- Sep 23, 2024
- Last updated
- Sep 23, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | MA065827 | PA | Yes |
Practice location
1995 Technology PkwyMechanicsburg, PA 17050-8522
Phone 717-782-3131
Mailing address
9 Kim Acres DrMechanicsburg, PA 17055-5531
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 42 Physician Assistant providers in Mechanicsburg · All 2,128 providers in Mechanicsburg
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