Active NPI
Kevin T Anello, PA-C
- Physician Assistant
- Lewistown, PA
National Provider Identifier
1174042014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA059254
- Practice address
- 400 Highland Ave
Lewistown, PA 17044-1167 - Phone
- (717) 242-7116
- NPI assigned
- Sep 12, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA059254 | PA | Primary |
Addresses
Primary practice location
400 Highland Ave
Lewistown, PA 17044-1167
Mailing address
400 Highland Ave
Lewistown, PA 17044-1167
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171107001994 | PA | Practitioner - Physician Assistant | 1254697220 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Geisinger Clinic
Practice addresses (Care Compare)
100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144
400 Highland Ave
Lewistown, PA 17044-1167
Phone (717) 363-9071
Hospital & facility affiliations
- Geisinger-Lewistown Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA059254 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients |
Locations
100 N Academy Ave
Danville, PA 17822
1020 Thompson St
Jersey Shore, PA 17740
Phone (570) 398-0100
400 Highland Ave
Lewistown, PA 17044
Phone (717) 242-7473
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 and National Provider Directory roles.
-
- Psychologist
- Danville, PA
- NPI 1427086065
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Surgery Physician
- Danville, PA
- NPI 1255382784
-
- Clinical Medical Laboratory
- Lock Haven, PA
- NPI 1528010006
-
- Durable Medical Equipment & Medical Supplies
- Scranton, PA
- NPI 1730693235
-
- Cardiac Rehabilitation Registered Nurse
- Wilkes Barre, PA
- NPI 1841995214
-
- Hospitalist Physician
- Wilkes Barre, PA
- NPI 1588614358
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Port Matilda, PA
- NPI 1801531322
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505174400000",
"number": "1174042014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 HIGHLAND AVE",
"city": "LEWISTOWN",
"state": "PA",
"postal_code": "170441167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HIGHLAND AVE",
"city": "LEWISTOWN",
"state": "PA",
"postal_code": "170441167",
"telephone_number": "717-242-7116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANELLO",
"first_name": "KEVIN",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-12",
"last_updated": "2017-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA059254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewistown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.