Individual provider Active NPI

Emily Elizabeth Byers, PA-C

  • Physician Assistant
  • Peckville, PA
National Provider Identifier
1225549538
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA059435 Issued in PA
Practice address
1400 Main St
Peckville, PA 18452-2081
Phone
(570) 291-7242
NPI assigned
Oct 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA059435 PA
Physician Assistant 363A00000X MA059435 PA Primary

Addresses

Primary practice location

1400 Main St
Peckville, PA 18452-2081

Mailing address

601 Park St
Honesdale, PA 18431-1498
Phone (570) 253-8100

Other practice location 1

746 Jefferson Ave
Scranton, PA 18510-1624
Phone (570) 587-7817

Other practice location 2

601 Park St
Honesdale, PA 18431-1498
Phone (570) 253-8100

Other names 1

  • Emily Elizabeth Ketz 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
I20180309001271 PA Practitioner - Physician Assistant 7911268859 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Memorial Hospital CurrentSince Nov 1, 2025 Accepting new patients
Wayne Memorial Hospital CurrentSince Nov 1, 2025 Accepting new patients
Samir B Pancholy LLC CurrentSince Mar 30, 2025 Accepting new patients
Geisinger Clinic Physician Assistant CurrentSince Jan 21, 2018 Accepting new patients
Geisinger Clinic CurrentSince Jan 21, 2018 Accepting new patients

Locations

401 N State St
Clarks Summit, PA 18411
Phone (570) 587-7817

100 N Academy Ave
Danville, PA 17822

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

1400 Main St
Peckville, PA 18452
Phone (570) 307-7600

1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

Interoperability endpoints

  • Direct secure messaging: emily.ketz.1@30200.direct.athenahealth.com

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": "1507939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1225549538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 PARK ST",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311498",
            "telephone_number": "570-253-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MAIN ST",
            "city": "PECKVILLE",
            "state": "PA",
            "postal_code": "184522081",
            "telephone_number": "570-291-7242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "746 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "185101624",
            "country_code": "US",
            "telephone_number": "570-587-7817",
            "fax_number": "570-587-7815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Park St",
            "address_purpose": "LOCATION",
            "city": "Honesdale",
            "state": "PA",
            "postal_code": "184311498",
            "country_code": "US",
            "telephone_number": "570-253-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYERS",
        "first_name": "EMILY",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-14",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA059435",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA059435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "KETZ",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peckville, PA

Sources for this page

Verify at the official NPI Registry.