Individual provider Active NPI

Brandy Lee Moyer, PA-C

  • Physician Assistant
  • Lewisburg, PA
National Provider Identifier
1164898540
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
210 JPM Rd Ste 300
Lewisburg, PA 17837-9367
Phone
(570) 524-4446
Fax
(570) 768-4623
NPI assigned
Aug 19, 2015
Last updated
Jun 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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 Primary

Addresses

Primary practice location

210 JPM Rd Ste 300
Lewisburg, PA 17837-9367

Mailing address

1 Hospital Dr
Suite 306
Lewisburg, PA 17837-9350
Phone (570) 522-4110

Other names 1

  • Brandy Lee Carnahan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151021001328 PA Practitioner - Physician Assistant 7911216551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

1 Hospital Dr
Lewisburg, PA 17837-9350
Phone (570) 522-4264

112 N 15TH St
Suite 1000 Wellspan Orthpedics
Lewisburg, PA 17837-1224
Phone (570) 524-4446

112 N 15TH Street
1000 Wellspan Orthopedics
Lewisburg, PA 17837-1224
Phone (570) 524-4446

191 Roosevelt Ave
Suite 2000
Selinsgrove, PA 17870-7998
Phone (570) 524-4446

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

210 JPM Rd
Lewisburg, PA 17837-9367
Phone (570) 522-4299

25 Monument Rd
York, PA 17403-5073

3 Hospital Dr
Lewisburg, PA 17837-9394

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Dec 1, 2025 Accepting new patients
Evangelical Medical Services Organization CurrentSince Sep 28, 2015 Accepting new patients
Wellspan Medical Group CurrentSince Dec 1, 2025 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Evangelical Community Hospital Past Accepting new patients
Evangelical Medical Services Organization Past Accepting new patients
Evangelical Community Hospital Past Accepting new patients
Wellspan Medical Group Past Accepting new patients

Locations

289 S Market St
Elysburg, PA 17824
Phone (570) 672-9885

1 Hospital Dr
Ste 306
Lewisburg, PA 17837
Phone (570) 522-4110

210 Jpm Rd
Ste 300
Lewisburg, PA 17837

25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290

3 Hospital Dr
Ste 206
Lewisburg, PA 17837
Phone (570) 522-9771

3 Hospital Dr
Ste 318
Lewisburg, PA 17837
Phone (570) 522-1007

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

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

Interoperability endpoints

  • Direct secure messaging: bmoyer486003@wellspan.direct-ci.com

Organizations & group practices 8

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 1

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": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1164898540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "address_2": "SUITE 306",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379350",
            "telephone_number": "570-522-4110",
            "fax_number": "570-768-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 JPM RD STE 300",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379367",
            "telephone_number": "570-524-4446",
            "fax_number": "570-768-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYER",
        "first_name": "BRANDY",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDY",
            "last_name": "CARNAHAN",
            "middle_name": "LEE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lewisburg, PA

Sources for this page

Verify at the official NPI Registry.