Individual provider Active NPI

Jamie Lyn Carroll, PA-C

  • Physician Assistant
  • Lancaster, PA
National Provider Identifier
1225136062
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA052519 Issued in PA
Practice address
100 N Queen St
Ste 200
Lancaster, PA 17603-2762
Phone
(717) 544-7500
Fax
(717) 735-7825
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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 MA052519 PA Primary

Addresses

Primary practice location

100 N Queen St
Ste 200
Lancaster, PA 17603-2762

Mailing address

100 N Queen St
Ste 200
Lancaster, PA 17603-2762
Phone (717) 544-7500

Other names 1

  • Jamie Lyn Henninger 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
I20090116000186 PA Practitioner - Physician Assistant 5193888113 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

100 N Queen St
200 Penn Medicine Healthworks
Lancaster, PA 17603-3550
Phone (717) 544-7500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1500SCMDPsychologist
MA052519PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Oct 10, 2016 Accepting new patients
Lancaster General Medical Group CurrentSince Oct 10, 2016 Accepting new patients
Seacoast ENT & Facial Plastic Surgery, PA PastSince Feb 11, 2011 Accepting new patients
Lancaster General Medical Group Past Accepting new patients
McLeod Physician Associates II Past Accepting new patients

Locations

426 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 299-1301

434 Springville Rd
Ste 100
Ephrata, PA 17522
Phone (717) 456-0620

100 N Queen St
Ste 200
Lancaster, PA 17603
Phone (717) 544-3555

2110 Harrisburg Pike
Ste 100
Lancaster, PA 17601
Phone (717) 544-3059

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

546 N Penryn Rd
Manheim, PA 17545
Phone (717) 544-8075

1159 River Rd
#F
Marietta, PA 17547
Phone (717) 426-1131

1001 Cornerstone Dr
#B
Mount Joy, PA 17552
Phone (717) 653-2929

1475 Strickler Rd
Ste 100
Mount Joy, PA 17552
Phone (610) 507-0556

620 Spear St
Oxford, PA 19363
Phone (610) 932-9300

Interoperability endpoints

  • Direct secure messaging: jcarroll242632@direct-lghealth.org

Organizations & group practices 6

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1225136062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N QUEEN ST",
            "address_2": "STE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032762",
            "telephone_number": "717-544-7500",
            "fax_number": "717-735-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N QUEEN ST",
            "address_2": "STE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032762",
            "telephone_number": "717-544-7500",
            "fax_number": "717-735-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "JAMIE",
        "middle_name": "LYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA052519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "HENNINGER",
            "middle_name": "LYN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.