NPIMap

Individual provider Active NPI

Elizabeth A Moyer, PA-C

  • Physician Assistant
  • Temple, PA
National Provider Identifier
1073157475
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA061202 Issued in PA
Practice address
4201 Kutztown Rd
Temple, PA 19560-1836
Phone
(610) 898-6990
NPI assigned
Oct 30, 2019
Last updated
Oct 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA061202 PA Primary

Addresses

Primary practice location

4201 Kutztown Rd
Temple, PA 19560-1836

Mailing address

PO Box 13579
Reading, PA 19612-3579

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
I20191127001131 PA Practitioner - Physician Assistant 6002249331 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reading HospitalGroup PAC ID 7618886490, 179 clinicians

Practice addresses (Care Compare)

1320 Broadcasting Rd
Wyomissing, PA 19610-3222
Phone (610) 375-6565

206 S 6TH Ave
West Reading, PA 19611-1411
Phone (484) 628-5437

301 S 7TH Ave
Suite 2020
West Reading, PA 19611-1495
Phone (610) 375-6565

420 S 5TH Ave
West Reading, PA 19611-2143

420 S 5TH Ave BLDG N
West Reading, PA 19611-2143

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.1 of 100Reported as group
Quality
77.19
Promoting interoperability
98
Improvement activities
40
Cost
79.03

Merit-based Incentive Payment System (MIPS)

Final score
84.71 of 100Reported as group
Quality
73.34
Promoting interoperability
97
Improvement activities
40
Cost
78.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA061202PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Reading Hospital CurrentSince May 1, 2024 Accepting new patients
Tower Health Medical Group CurrentSince Dec 30, 2019 Accepting new patients
Reading Hospital CurrentSince May 1, 2024 Accepting new patients
Tower Health Medical Group CurrentSince Dec 30, 2019 Accepting new patients
Reading Professional Services Past Accepting new patients

Locations

4201 Kutztown Rd
Temple, PA 19560
Phone (610) 898-6990

206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Organizations & group practices 7

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": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1073157475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 KUTZTOWN RD",
            "city": "TEMPLE",
            "state": "PA",
            "postal_code": "195601836",
            "telephone_number": "610-898-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYER",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, PA

Sources for this page

Verify at the official NPI Registry.