MARK W HENNICKE (PA-C) – Medical Physician Assistant, NPI 1487611307
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,691 PHYSICIAN ASSISTANT in PA
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Provider Addresses for MARK W HENNICKE (PA-C)
520, Jefferson Avenue, Grapeville, Jeannette, Westmoreland County, Pennsylvania, 15644, United States
SUITE 400
JEANNETTE, PA 156442538
Phone: (724) 527-8060
Fax: (724) 522-4002
Type: Mailing
Greensburg, Westmoreland County, Pennsylvania, United States
SECOND FLOOR
GREENSBURG, PA 156012775
Phone: (724) 689-1358
Fax: (724) 689-0547
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $33.
Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($31).
Total Amount
$33
General + Research + Ownership
Payments
3
Total payment records
General Amount
$33
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-06-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100628000985 | I | Physician Assistant | PA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 67 | 39 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 37 | 32 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 14 | 14 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 14 | 12 | $0 |
Insurance plans in this area (ZIP 15644)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WV | |
| Interventional Radiology | PA | |
| - | PA | |
| Nurse Practitioner | PA | |
| Cardiovascular Disease (Cardiology) | PA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | PA | |
| Internal Medicine | PA | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | PA | |
| - | PA |
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