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

Jennifer Niebauer

Individual provider Physician Assistant · NPI 1790036861

Jennifer Niebauer is a Physician Assistant in Erie, Pennsylvania. Qualified in 2012, 14 years ago. Practices with Regional Health Services Inc, a 576-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
14
Licensed in
PA
In the registry since
2012
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

300 State St Fl 4 4TH Fl Ste 401
Erie, PA 16507-1427
Phone: (814) 877-6111
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA055776 (PA)

Record details

NPI number1790036861
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 28, 2012
Last updated in NPPESApril 6, 2021
Certification dateApril 13, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Regional Health Services Inc — 576 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Erie