Individual provider Active NPI

Anthony Mark Hackett, PA-C

  • Physician Assistant
  • Lancaster, PA
National Provider Identifier
1184952855
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA054209 Issued in PA
Practice address
170 N Pointe Blvd
Lancaster, PA 17601-4132
Phone
(717) 299-4871
Fax
(717) 517-5173
NPI assigned
Nov 18, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA003110 PA
Physician Assistant 363A00000X MA054209 PA Primary

Addresses

Primary practice location

170 N Pointe Blvd
Lancaster, PA 17601-4132

Mailing address

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

Other practice location 1

194 N Reading Rd
Ephrata, PA 17522-1648
Phone (717) 299-4871

Other practice location 2

1701 Cornwall Rd Ste 200
Lebanon, PA 17042-7480
Phone (717) 299-4871

Other practice location 3

2913 Spooky Nook Rd Ste 100
Manheim, PA 17545-9149
Phone (717) 299-4871

Other practice location 4

212 Willow Valley Lakes Dr Ste 201
Willow Street, PA 17584-9668
Phone (717) 299-4871

Other practice location 5

4830 Londonderry Rd
Harrisburg, PA 17109-5207
Phone (717) 657-2595

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address AnthonyHackettPA@fpc.medentdirect.com Health Information Exchange (HIE) FAMILY PRACTICE CENTER, PC

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
I20100125000740 PA Practitioner - Physician Assistant 3274675566 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Assoc of Lancaster LTDGroup PAC ID 8527041987, 81 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

170 N Pointe Blvd
Lancaster, PA 17601-4132
Phone (717) 299-4871

1701 Cornwall Rd
Suite 200
Lebanon, PA 17042-7480
Phone (717) 299-4871

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA054209PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Center, PC Physician Assistant CurrentSince Sep 28, 2012 Accepting new patients
Orthopedic Assoc of Lancaster LTD CurrentSince Jul 31, 2023 Accepting new patients

Locations

194 N Reading Rd
Ephrata, PA 17522
Phone (717) 738-1125

4830 Londonderry Rd
Harrisburg, PA 17109
Phone (717) 657-2595

170 N Pointe Blvd
Lancaster, PA 17601

1701 Cornwall Rd
Ste 200
Lebanon, PA 17042

2913 Spooky Nook Rd
Ste 100
Manheim, PA 17545

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

212 Willow Valley Lakes Dr
Ste 201
Willow Street, PA 17584

Interoperability endpoints

  • Direct secure messaging: anthonyhackettpa@fpc.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 3

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": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1184952855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DOCK HILL RD",
            "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": "170 N POINTE BLVD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014132",
            "telephone_number": "717-299-4871",
            "fax_number": "717-517-5173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "194 N Reading Rd",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221648",
            "country_code": "US",
            "telephone_number": "717-299-4871",
            "fax_number": "717-517-5173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Cornwall Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427480",
            "country_code": "US",
            "telephone_number": "717-299-4871",
            "fax_number": "717-517-5173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2913 Spooky Nook Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Manheim",
            "state": "PA",
            "postal_code": "175459149",
            "country_code": "US",
            "telephone_number": "717-299-4871",
            "fax_number": "717-517-5173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "212 Willow Valley Lakes Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Willow Street",
            "state": "PA",
            "postal_code": "175849668",
            "country_code": "US",
            "telephone_number": "717-299-4871",
            "fax_number": "717-517-5173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4830 Londonderry Rd",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171095207",
            "country_code": "US",
            "telephone_number": "717-657-2595",
            "fax_number": "717-657-3091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HACKETT",
        "first_name": "ANTHONY",
        "middle_name": "MARK",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-18",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA003110",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA054209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AnthonyHackettPA@fpc.medentdirect.com",
            "affiliation": "Y",
            "affiliationName": "FAMILY PRACTICE CENTER, PC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4830 Londonderry Rd",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171095207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.