Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Caitlin Jaeckel, PA-C

Individual provider Physician Assistant · NPI 1912596644

Caitlin Jaeckel, PA-C is a Physician Assistant in Philadelphia, Pennsylvania. Qualified in 2020, 6 years ago. Registered with an NPI since 2021.

Years since qualifying
6
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1237 Spring Garden St
Philadelphia, PA 19123-3469
Phone: (215) 769-3561
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1912596644
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 17, 2021
Last updated in NPPESFebruary 24, 2023
Certification dateFebruary 24, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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