NPIMap

Individual provider Active NPI

Rebecca L. Hissong, PA-C

  • Medical Physician Assistant
  • Chambersburg, PA
National Provider Identifier
1104019264
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA001865L Issued in PA
Practice address
22 St Paul Drive
Suite 202
Chambersburg, PA 17201-1036
Phone
(717) 217-6870
Fax
(717) 217-6945
NPI assigned
Aug 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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 MA001865L PA Primary

Addresses

Primary practice location

22 St Paul Drive
Suite 202
Chambersburg, PA 17201-1036

Mailing address

785 5TH Ave
Suite 3
Chambersburg, PA 17201-4232
Phone (717) 263-9555

Other practice location 1

24 Antrim Commons Drive
Greencastle, PA 17225-1623
Phone (717) 217-6870

Other practice location 2

601 East main Street
Waynesboro, PA 17268-2332
Phone (717) 217-6870

Other practice location 3

354 Alexander Spring Road Suite 3
Carlisle, PA 17015-7451
Phone (717) 217-6870

Other identifiers 1

IdentifierTypeStateIssuer
103166800MedicaidPA

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
I20071120000598 PA Practitioner - Physician Assistant 3476641762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, 730 clinicians
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

22 St Paul Dr
Chambersburg, PA 17201-1036

25 Monument Rd
York, PA 17403-5073

2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214

601 E Main St
Waynesboro, PA 17268-2332

914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214

Hospital & facility affiliations

  • Wellspan Waynesboro Hospital Hospital, Waynesboro, PA, CCN 390138
  • Wellspan Chambersburg Hospital Hospital, Chambersburg, PA, CCN 390151
  • Gettysburg Hospital Hospital, Gettysburg, PA, CCN 390065

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA001865LPAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jan 2, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Jan 2, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Scotland Family Medicine Inc Past Accepting new patients

Locations

354 Alexander Spring Rd
Ste 3
Carlisle, PA 17015
Phone (717) 217-6820

22 St Paul Dr
Ste 202
Chambersburg, PA 17201
Phone (717) 217-6870

24 Antrim Commons Dr
Greencastle, PA 17225
Phone (717) 593-0512

601 E Main St
Waynesboro, PA 17268
Phone (717) 765-5085

501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400

1600 S George St
York, PA 17403
Phone (717) 848-3615

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Interoperability endpoints

  • Direct secure messaging: bhissong227770@wellspan.direct-ci.com

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 9

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": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1104019264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 5TH AVE",
            "address_2": "SUITE 3",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014232",
            "telephone_number": "717-263-9555",
            "fax_number": "717-217-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ST PAUL DRIVE",
            "address_2": "SUITE 202",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011036",
            "telephone_number": "717-217-6870",
            "fax_number": "717-217-6945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Antrim Commons Drive",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "PA",
            "postal_code": "172251623",
            "country_code": "US",
            "telephone_number": "717-217-6870",
            "fax_number": "717-217-6945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 East main Street",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682332",
            "country_code": "US",
            "telephone_number": "717-217-6870",
            "fax_number": "717-217-6945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "354 Alexander Spring Road Suite 3",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170157451",
            "country_code": "US",
            "telephone_number": "717-217-6870",
            "fax_number": "717-217-6945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HISSONG",
        "first_name": "REBECCA",
        "middle_name": "L.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA001865L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103166800",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.