NPIMap

Individual provider Active NPI

Cara Centrella, PA-C

  • Physician Assistant
  • Harrisburg, PA
National Provider Identifier
1104370840
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA058346 Issued in PA
Practice address
2151 Linglestown Rd
Suite 100
Harrisburg, PA 17110-9499
Phone
(717) 545-4786
Fax
(717) 545-6359
NPI assigned
Aug 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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 MA058346 PA Primary

Addresses

Primary practice location

2151 Linglestown Rd
Suite 100
Harrisburg, PA 17110-9499

Mailing address

50 N 12TH St
Lemoyne, PA 17043-1440
Phone (717) 234-2561

Other identifiers 1

IdentifierTypeStateIssuer
103188745MedicaidPA

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
I20160926002144 PA Practitioner - Physician Assistant 1850688474 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Penn State Health Medical Group LLCGroup PAC ID 8729351077, 720 clinicians

Practice addresses (Care Compare)

1120 Cocoa Ave
Hershey, PA 17033-1712
Phone (717) 533-4141

50 N 12TH St
Pshmg Pulmonary Crit
Lemoyne, PA 17043-1440
Phone (717) 234-2561

Hospital & facility affiliations

  • Penn State Health Holy Spirit Medical Center Hospital, Camp Hill, PA, CCN 390004
  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067
  • Milton S Hershey Medical Center Hospital, Hershey, PA, CCN 390256
  • Penn State Health Hampden Medical Center Hospital, Enola, PA, CCN 390336

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
65.84
Promoting interoperability
100
Improvement activities
40
Cost
77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA058346PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 1, 2016 Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 1, 2016 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
The Milton S Hershey Medical Center Physicians Group CurrentSince May 1, 2020 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince May 1, 2020 Accepting new patients

Locations

220 Wilson St
Ste 104
Carlisle, PA 17013
Phone (717) 218-1832

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

2151 Linglestown Rd
Ste 100
Harrisburg, PA 17110
Phone (717) 545-4786

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

50 N 12th St
Lemoyne, PA 17043
Phone (717) 243-2561

Organizations & group practices 9

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 11

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": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1104370840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N 12TH ST",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170431440",
            "telephone_number": "717-234-2561",
            "fax_number": "717-545-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 LINGLESTOWN RD",
            "address_2": "SUITE 100",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109499",
            "telephone_number": "717-545-4786",
            "fax_number": "717-545-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTRELLA",
        "first_name": "CARA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA058346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103188745",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.