Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jake Andrew Coffman, PA-C

Individual provider Physician Assistant · NPI 1194199349

Jake Andrew Coffman, PA-C is a Physician Assistant in Williamsport, Pennsylvania. Qualified in 2015, 11 years ago. Practices with Susquehanna Physician Services, a 612-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and Pennsylvania.

Years since qualifying
11
Licensed in
NC, PA
In the registry since
2015
Specialties on file
2
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

1705 Warren Ave Ste 101-103
Williamsport, PA 17701-2647
Phone: (570) 321-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 131 Miller St, Winston Salem, NC 27103-2508 — (336) 716-8200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA066501 (PA)
Physician Assistant Taxonomy 363A00000X · Licence 0010-06081 (NC)

Record details

NPI number1194199349
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 25, 2015
Last updated in NPPESFebruary 27, 2026
Certification dateFebruary 27, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Susquehanna Physician Services — 612 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Williamsport