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

Individual provider Medical Physician Assistant · NPI 1174373336

Jaclyn Petrichevich, PA-C is a Physician Assistant in Pittsburgh, Pennsylvania. Qualified in 2023, 3 years ago. Practices with UPMC Community Medicine Inc, a 734-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
3
Licensed in
PA
In the registry since
2024
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

300 Halket St Ste 1731
Pittsburgh, PA 15213-3108
Phone: (412) 641-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Bradford Rd Ste 310, Wexford, PA 15090-8487 — (724) 940-5423

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA065457 (PA)

Record details

NPI number1174373336
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 22, 2024
Last updated in NPPESMarch 22, 2024
Certification dateMarch 22, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Upmc Community Medicine Inc — 734 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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