Individual provider Active NPI

Nicole Somers, PAC

  • Physician Assistant
  • Northampton, PA
National Provider Identifier
1083493720
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA064901 Issued in PA
Practice address
602 B East 21St St
Suite 400
Northampton, PA 18067-1269
Phone
(484) 526-7275
Fax
(833) 820-1011
NPI assigned
Sep 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 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 MA064901 PA Primary

Addresses

Primary practice location

602 B East 21St St
Suite 400
Northampton, PA 18067-1269

Mailing address

602 B East 21St St
Suite 400
Northampton, PA 18067-1269
Phone (484) 526-7275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231024002378 PA Practitioner - Physician Assistant 8820444003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

2201 Schoenersville Rd
Allentown, PA 18109-9458
Phone (484) 528-7255

4311 Easton Ave
Bethlehem, PA 18020-1431
Phone (610) 954-3600

4379 Easton Ave
101 Family Prac Palmer
Bethlehem, PA 18020-1431
Phone (610) 814-2424

602 E 21St St
Northampton, PA 18067-1269

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Allentown, PA, CCN 397533
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049

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
MA064901PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc CurrentSince Oct 30, 2023 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Oct 30, 2023 Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

2201 Schoenersville Rd
Allentown, PA 18109
Phone (484) 526-7255

6651 Silver Crest Rd
Ste 101
Bath, PA 18014
Phone (484) 526-7265

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

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

602 E 21st St
Ste 400
Northampton, PA 18067
Phone (610) 262-1519

Interoperability endpoints

  • Direct secure messaging: nicole.somers@slpg.direct-sluhn.org

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1083493720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 B EAST 21ST ST",
            "address_2": "SUITE 400",
            "city": "NORTHAMPTON",
            "state": "PA",
            "postal_code": "180671269",
            "telephone_number": "484-526-7275",
            "fax_number": "833-820-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 B EAST 21ST ST",
            "address_2": "SUITE 400",
            "city": "NORTHAMPTON",
            "state": "PA",
            "postal_code": "180671269",
            "telephone_number": "484-526-7275",
            "fax_number": "833-820-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMERS",
        "first_name": "NICOLE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA064901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, PA

Sources for this page

Verify at the official NPI Registry.