NPIMap

Kelsey Dawn Puskar, PA-C

Individual provider Active NPI Family Medicine Physician · New Wilmington, PA

NPI 1104465467 · NPPES record last updated Apr 30, 2025

Key facts

NPI
1104465467
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
MA061367 (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
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

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,Inc (5 clinicians)
Phoenix Rehabilitation and Health Services Inc (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

  • Amedisys Home Health Home health agency · Butler, PA · CCN 398146
  • Upmc Horizon Hospital · Greenville, PA · CCN 390178
  • Upmc Jameson Hospital · New Castle, PA · CCN 390016
  • Independence Health System Butler Memorial Hospita Hospital · Butler, PA · CCN 390168
  • Sharon Regional Medical Center Hospital · Sharon, PA · CCN 390211
  • Grove City Medical Center Hospital · Grove City, PA · CCN 390266

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20200226002124 PA Practitioner - Physician Assistant 8022445329 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Practice roles

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

Interoperability endpoints

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

Specialties & licenses

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

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 30, 2025.

{
    "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

All providers in New Wilmington, PA · Family Medicine Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.