Individual provider Active NPI

Kayla Nicole James, PA-C

  • Physician Assistant
  • Danville, PA
National Provider Identifier
1205137825
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA002587 Issued in PA
Practice address
175 Northumberland St
Danville, PA 17822-9737
Phone
(570) 284-4575
Fax
(570) 284-4577
NPI assigned
Nov 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 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 MA054503 PA
Physician Assistant 363A00000X OA002587 PA Primary

Addresses

Primary practice location

175 Northumberland St
Danville, PA 17822-9737

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other identifiers 2

IdentifierTypeStateIssuer
1031468700001MedicaidPA
200533F6KOtherPAMEDICARE

Other names 1

  • Kayla Nicole Heimbach Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KaylaJamesPA@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
I20110224000190 PA Practitioner - Physician Assistant 2668653676 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
Family Practice Center PCGroup PAC ID 0244124212, 351 clinicians
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

1 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-5889

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144

10990 State Route 61
Mount Carmel, PA 17851-2575
Phone (570) 554-9260

10990 State Route 61 736344
Mount Carmel, PA 17851-2575
Phone (570) 339-4513

157 Roosevelt Ave
Selinsgrove, PA 17870-7961
Phone (570) 884-3726

175 Northumberland St
Danville, PA 17821-1508
Phone (570) 284-4575

240 Mall Blvd
Bloomsburg, PA 17815-8389
Phone (570) 416-5435

289 S Market St
Elysburg, PA 17824-9737
Phone (570) 672-9885

410 Glen Ave
Bloomsburg, PA 17815-1200
Phone (570) 416-1890

65 Briar Creek PLZ
Berwick, PA 18603-4100
Phone (570) 802-5590

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA054503PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Center, PC Physician Assistant CurrentSince Dec 1, 2010 Accepting new patients
Geisinger Clinic Physician Assistant CurrentSince Jan 2, 2023 Accepting new patients
Geisinger Clinic CurrentSince Jan 2, 2023 Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

175 Northumberland St
Danville, PA 17821
Phone (570) 284-4575

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

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

10990 State Route 61
Mount Carmel, PA 17851
Phone (570) 339-4513

Interoperability endpoints

  • Direct secure messaging: kaylajamespa@fpc.medentdirect.com
  • Direct secure messaging: kjames98077@direct.geisinger.edu

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1205137825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 NORTHUMBERLAND ST",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178229737",
            "telephone_number": "570-284-4575",
            "fax_number": "570-284-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "KAYLA",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-12",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA054503",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA002587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031468700001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "200533F6K",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KaylaJamesPA@FPC.medentdirect.com",
            "affiliation": "Y",
            "affiliationName": "FAMILY PRACTICE CENTER, PC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "289 S Market St",
            "city": "Elysburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "178249737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "HEIMBACH",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Danville, PA

Sources for this page

Verify at the official NPI Registry.