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

Katie Jackley, PA-C

Individual provider Physician Assistant · NPI 1184680167

Katie Jackley, PA-C is a Physician Assistant in Pittsburgh, Pennsylvania. Qualified in 2004, 22 years ago. Practices with Allegheny Clinic, a 2,300-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Pennsylvania.

Years since qualifying
22
Licensed in
CA, PA
In the registry since
2006
Specialties on file
5
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

320 E North Ave Ste 208
Pittsburgh, PA 15212-4756
Phone: (412) 359-6200
Fax: (412) 359-6617
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence MA051828 (PA)
Physician Assistant Taxonomy 363A00000X · Licence MA051828 (PA)
Physician Assistant Taxonomy 363A00000X · Licence PA18658 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA18658 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA18658 (CA)

Record details

NPI number1184680167
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 26, 2006
Last updated in NPPESJuly 28, 2021
Certification dateJuly 28, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Allegheny Clinic — 2300 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

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