NPIMap

Individual provider Active NPI

Joseph W Lista, MS, PA-C

  • Physician Assistant
  • New Cumberland, PA
National Provider Identifier
1134115249
Registry record updated Jul 26, 2017
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Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA002490L Issued in PA
Practice address
1515 Bridge St
New Cumberland, PA 17070-1120
Phone
(717) 695-4084
Fax
(717) 695-3963
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2017

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 MA002490L PA Primary

Addresses

Primary practice location

1515 Bridge St
New Cumberland, PA 17070-1120

Mailing address

7 Dock Hill Road
Middleburg, PA 17842-8910
Phone (570) 837-2123

Other identifiers 1

IdentifierTypeStateIssuer
575011F6KOtherPAMEDICARE

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
I20060808000495 PA Practitioner - Physician Assistant 9931102159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Shore Family Practice PCGroup PAC ID 7618957713, 4 clinicians

Practice addresses (Care Compare)

6375 Mercury Dr
Suite 200
Mechanicsburg, PA 17050-5282
Phone (717) 620-2500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.95 of 100Reported as group
Quality
100
Improvement activities
40
Cost
73.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA002490LPAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Myers Ambucare Surgery, LTD. PastSince Jul 1, 2008 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jlistapa@wsfp.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 and National Provider Directory roles.

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501027200000",
    "number": "1134115249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DOCK HILL ROAD",
            "city": "MIDDLEBURG",
            "state": "PA",
            "postal_code": "178428910",
            "telephone_number": "570-837-2123",
            "fax_number": "570-837-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 BRIDGE ST",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170701120",
            "telephone_number": "717-695-4084",
            "fax_number": "717-695-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISTA",
        "first_name": "JOSEPH",
        "middle_name": "W",
        "credential": "MS, PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2017-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA002490L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "575011F6K",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Cumberland, PA

Sources for this page

Verify at the official NPI Registry.