NPIMap

Individual provider Active NPI

Kelsey Dawn Puskar, PA-C

  • Family Medicine Physician
  • New Wilmington, PA
National Provider Identifier
1104465467
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA061367 Issued in PA
Practice address
1995 Mercer New Wilmington Rd
New Wilmington, PA 16142-2021
Phone
(724) 946-3564
Fax
(724) 946-2156
NPI assigned
Jan 3, 2020
Last updated
Apr 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA061367 PA Primary

Addresses

Primary practice location

1995 Mercer New Wilmington Rd
New Wilmington, PA 16142-2021

Mailing address

1995 Mercer New Wilmington Rd
New Wilmington, PA 16142-2021
Phone (724) 946-3564

Other practice location 1

150 N New Castle St
New Wilmington, PA 16142-1019
Phone (724) 946-3564

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
I20200226002124 PA Practitioner - Physician Assistant 8022445329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Medical Care of Lawrence County,IncGroup PAC ID 3173555240, 5 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

1995 Mercer New Wilmington Rd
New Wilmington, PA 16142-2021

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

238 S Market St
Shenango on the Green
New Wilmington, PA 16142-1212
Phone (724) 946-3516

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA061367PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medical Care of Lawrence County PastSince May 4, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kelseymurraypac@familymedicalcare.medentdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1104465467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 MERCER NEW WILMINGTON RD",
            "city": "NEW WILMINGTON",
            "state": "PA",
            "postal_code": "161422021",
            "telephone_number": "724-946-3564",
            "fax_number": "724-946-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 MERCER NEW WILMINGTON RD",
            "city": "NEW WILMINGTON",
            "state": "PA",
            "postal_code": "161422021",
            "telephone_number": "724-946-3564",
            "fax_number": "724-946-2156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 N New Castle St",
            "address_purpose": "LOCATION",
            "city": "New Wilmington",
            "state": "PA",
            "postal_code": "161421019",
            "country_code": "US",
            "telephone_number": "724-946-3564",
            "fax_number": "724-946-2156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUSKAR",
        "first_name": "KELSEY",
        "middle_name": "DAWN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MA061367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Wilmington, PA

Sources for this page

Verify at the official NPI Registry.