Individual provider Active NPI

Lisa Rose McCarthy, PA-C

  • Medical Physician Assistant
  • Duncansville, PA
National Provider Identifier
1083497614
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA064726 Issued in PA
Practice address
175 Meadowbrook LN
Duncansville, PA 16635-8445
Phone
(814) 693-0300
NPI assigned
Aug 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA064726 PA Primary

Addresses

Primary practice location

175 Meadowbrook LN
Duncansville, PA 16635-8445

Mailing address

345 Ronan Dr
Ashville, PA 16613-8626
Phone (814) 631-8312

Other names 1

  • Lisa Rose Connacher Former name

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
I20250103001331 PA Practitioner - Physician Assistant 5092152157 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
Alan J Kivitz MD PCGroup PAC ID 7315912367, 7 clinicians

Practice addresses (Care Compare)

175 Meadowbrook LN
Duncansville, PA 16635-8445
Phone (814) 693-0300

Hospital & facility affiliations

  • Penn Highlands Huntingdon Hospital, Huntingdon, PA, CCN 390056

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Windber Hospital, Inc. Past Accepting new patients
Icare Medical PastSince Aug 1, 2023 Accepting new patients
Altoona Speciality Center LLC Past Accepting new patients

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 12

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": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1083497614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 RONAN DR",
            "city": "ASHVILLE",
            "state": "PA",
            "postal_code": "166138626",
            "telephone_number": "814-631-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MEADOWBROOK LN",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166358445",
            "telephone_number": "814-693-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "LISA",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA064726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "CONNACHER",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Duncansville, PA

Sources for this page

Verify at the official NPI Registry.