Individual provider Active NPI

Meghan Jeanne Penfield, PA-C

  • Physician Assistant
  • Williamsport, PA
National Provider Identifier
1235470717
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA055201 Issued in PA
Practice address
1705 Warren Ave Ste 206
Williamsport, PA 17701-2664
Phone
(570) 326-8090
Fax
(570) 326-8091
NPI assigned
Mar 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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 MA055201 PA Primary

Addresses

Primary practice location

1705 Warren Ave Ste 206
Williamsport, PA 17701-2664

Mailing address

1201 Grampian Blvd
Williamsport, PA 17701-1900

Other names 1

  • Meghan Jeanne Hurley Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address meghan.j.penfield@upmcdirect.com Health Information Exchange (HIE)

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
I20130722000059 PA Practitioner - Physician Assistant 0446491286 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Susquehanna Physician ServicesGroup PAC ID 2264336460, shared by 32 NPIs, 611 clinicians

Practice addresses (Care Compare)

1100 Grampian Blvd
Williamsport, PA 17701-1909
Phone (570) 326-8005

1705 Warren Ave
Suite 101 103
Williamsport, PA 17701-2647
Phone (570) 321-2020

700 High St
Williamsport, PA 17701-3100

700 High St
Williamsport, PA 17701-3198

740 High St
Suite 1003
Williamsport, PA 17701-3102
Phone (570) 321-3160

Hospital & facility affiliations

  • Upmc Williamsport Hospital, Williamsport, PA, CCN 390045

Merit-based Incentive Payment System (MIPS)

Final score
81.06 of 100Reported as group
Quality
62.07
Promoting interoperability
100
Improvement activities
40
Cost
74.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA055201PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Susquehanna Physician Services Physician Assistant CurrentSince Apr 15, 2013 Accepting new patients
Susquehanna Physician Services CurrentSince Apr 15, 2013 Accepting new patients
Susquehanna Physician Services Physician Assistant CurrentSince Aug 1, 2021 Accepting new patients
Susquehanna Physician Services Physician Assistant CurrentSince Dec 4, 2024 Accepting new patients

Locations

1100 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8005

1705 Warren Ave
#101103
Williamsport, PA 17701

1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723

700 High St
#P
Williamsport, PA 17701
Phone (570) 321-2619

1705 Warren Ave
Ste 206
Williamsport, PA 17701
Phone (570) 326-8090

700 High St
Williamsport, PA 17701
Phone (570) 321-1000

Interoperability endpoints

  • Direct secure messaging: mpenfield197162@upmc.direct-ci.com

Organizations & group practices 4

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 7

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": "1362700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1235470717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 GRAMPIAN BLVD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 WARREN AVE STE 206",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177012664",
            "telephone_number": "570-326-8090",
            "fax_number": "570-326-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENFIELD",
        "first_name": "MEGHAN",
        "middle_name": "JEANNE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-08",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "meghan.j.penfield@upmcdirect.com",
            "affiliation": "N",
            "endpointDescription": "secure UPMC direct address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "600 Grant St Fl 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "HURLEY",
            "middle_name": "JEANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Williamsport, PA

Sources for this page

Verify at the official NPI Registry.