NPIMap

Individual provider Active NPI

Tiffany Nicole Meckler, PA-C

  • Physician Assistant
  • Bartonsville, PA
National Provider Identifier
1023206133
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA003992 Issued in PA
Practice address
3565 Route 611 Ste 300
Bartonsville, PA 18321-7800
Phone
(272) 212-3090
Fax
(866) 289-8937
NPI assigned
Oct 15, 2007
Last updated
Sep 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA003992 PA Primary
Medical Physician Assistant 363AM0700X MA053215 PA

Addresses

Primary practice location

3565 Route 611 Ste 300
Bartonsville, PA 18321-7800

Mailing address

3565 Route 611 Ste 300
Bartonsville, PA 18321-7800
Phone (272) 212-3090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190110001080 PA Practitioner - Physician Assistant 9830413988 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

3565 Route 611
Suite 300
Bartonsville, PA 18321-7800
Phone (484) 526-2200

614 Delaware Ave
Palmerton, PA 18071-2003

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
OA003992PAMDPhysician Assistant
MA053215PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc CurrentSince Jan 1, 2018 Accepting new patients
Gslpg, Inc CurrentSince Jan 26, 2026 Accepting new patients
St Luke's Physician Group Inc CurrentSince Jan 1, 2018 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients

Locations

3565 Route 611
Ste 300
Bartonsville, PA 18321
Phone (272) 212-0105

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: tiffany.mazur@slpg.direct-sluhn.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1023206133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3565 ROUTE 611 STE 300",
            "city": "BARTONSVILLE",
            "state": "PA",
            "postal_code": "183217800",
            "telephone_number": "272-212-3090",
            "fax_number": "866-289-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3565 ROUTE 611 STE 300",
            "city": "BARTONSVILLE",
            "state": "PA",
            "postal_code": "183217800",
            "telephone_number": "272-212-3090",
            "fax_number": "866-289-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECKLER",
        "first_name": "TIFFANY",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-15",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA003992",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA053215",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartonsville, PA

Sources for this page

Verify at the official NPI Registry.