Individual provider Active NPI

Megan Nicole Rozmajzl, PA-C

  • Physician Assistant
  • Carlisle, PA
National Provider Identifier
1093479917
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA007707 Issued in PA
Practice address
2 Jennifer CT Ste B
Carlisle, PA 17015-7694
Phone
(717) 218-9830
Fax
(717) 218-9833
NPI assigned
Oct 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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 OA007707 PA Primary
Physician Assistant 363A00000X PA-2194 ID

Addresses

Primary practice location

2 Jennifer CT Ste B
Carlisle, PA 17015-7694

Mailing address

2 Jennifer CT Ste B
Carlisle, PA 17015-7694
Phone (717) 218-9830

Other practice location 1

1408 Pomerelle Ave Ste H
Burley, ID 83318-2068
Phone (208) 677-6170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Jan 31, 2022 Accepting new patients
Ihc Health Services Inc CurrentSince Jan 31, 2022 Accepting new patients

Locations

1501 Hiland Ave
Burley, ID 83318
Phone (208) 678-4444

1408 Pomerelle Ave
Ste H
Burley, ID 83318
Phone (208) 677-6170

Organizations & group practices 2

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": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1093479917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 JENNIFER CT STE B",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170157694",
            "telephone_number": "717-218-9830",
            "fax_number": "717-218-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 JENNIFER CT STE B",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170157694",
            "telephone_number": "717-218-9830",
            "fax_number": "717-218-9833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1408 Pomerelle Ave Ste H",
            "address_purpose": "LOCATION",
            "city": "Burley",
            "state": "ID",
            "postal_code": "833182068",
            "country_code": "US",
            "telephone_number": "208-677-6170",
            "fax_number": "208-878-4974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROZMAJZL",
        "first_name": "MEGAN",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA007707",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-2194",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.