Individual provider Active NPI

Melissa Evans, PA-C

  • Physician Assistant
  • Dickson City, PA
National Provider Identifier
1073292355
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA065011 Issued in PA
Practice address
330 Main St
Dickson City, PA 18519-1691
Phone
(570) 330-5000
NPI assigned
Jul 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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 MA065011 PA Primary

Addresses

Primary practice location

330 Main St
Dickson City, PA 18519-1691

Mailing address

2100 Mack Blvd
Allentown, PA 18103-5622
Phone (484) 884-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231010000033 PA Practitioner - Physician Assistant 2466807524 Reassigns benefits to 2 organizations
I20240520001179 PA Practitioner - Physician Assistant 2466807524 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Oct 1, 2023 Accepting new patients
The Wright Center Medical Group CurrentSince Jun 2, 2025 Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 1, 2023 Accepting new patients
Wayne Memorial Hospital CurrentSince Apr 19, 2024 Accepting new patients

Locations

260 Daleville Hwy
Ste 103
Covington Township, PA 18444
Phone (570) 591-5150

103 Spruce St
Hawley, PA 18428
Phone (570) 390-4545

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

1855 Fair Ave
Lowr
Honesdale, PA 18431
Phone (570) 253-3980

5 S Washington Ave
Jermyn, PA 18433
Phone (570) 230-0019

1401 Fellows St
Scranton, PA 18504
Phone (570) 591-5280

501 S Washington Ave
Ste 1000
Scranton, PA 18505
Phone (570) 866-3058

330 Main St
Scranton, PA 18519
Phone (570) 330-5000

200 Wyoming Ave
#250
Scranton, PA 18503
Phone (570) 342-5253

312 Boulevard Ave
Scranton, PA 18519
Phone (570) 489-4567

329 Cherry St
Ste 1B
Scranton, PA 18505
Phone (570) 591-5250

231 Northern Blvd
South Abington Township, PA 18411
Phone (570) 585-8085

1145 Northern Blvd
South Abington Township, PA 18411
Phone (570) 493-1335

231 Northern Blvd
Ste 1
South Abington Township, PA 18411
Phone (570) 344-9997

169 N Pennsylvania Ave
Wilkes Barre, PA 18701
Phone (570) 346-8147

Interoperability endpoints

  • Direct secure messaging: mevans@thewrightcenter.medentdirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1073292355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622",
            "telephone_number": "484-884-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MAIN ST",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191691",
            "telephone_number": "570-330-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MELISSA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA065011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson City, PA

Sources for this page

Verify at the official NPI Registry.