Individual provider Active NPI

Marlee Ann Lambert, PA-C

  • Physician Assistant
  • Kingston, PA
National Provider Identifier
1255920336
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA062182 Issued in PA
Practice address
440 Pierce St
Kingston, PA 18704-5500
Phone
(570) 287-1122
Fax
(570) 207-5579
NPI assigned
Jan 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MA062182 PA
Physician Assistant 363A00000X MA062182 PA Primary

Addresses

Primary practice location

440 Pierce St
Kingston, PA 18704-5500

Mailing address

327 N Washington Ave Ste 200
Scranton, PA 18503-1535
Phone (570) 961-5522

Other practice location 1

327 N Washington Ave Ste 200
Scranton, PA 18503-1535
Phone (570) 961-5522

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
I20220711002626 PA Practitioner - Physician Assistant 8628458403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lackawanna Valley Dermatology Associates LimitedGroup PAC ID 2668459066, 18 clinicians

Practice addresses (Care Compare)

327 N Washington Ave
Scranton, PA 18503-1535
Phone (570) 961-5522

440 Pierce St
Kingston, PA 18704-5500
Phone (570) 287-1122

Merit-based Incentive Payment System (MIPS)

Final score
89.11 of 100Reported as group
Quality
96.44
Promoting interoperability
100
Improvement activities
40
Cost
67.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA062182PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fsljc, LLC. PastSince Jan 1, 2021 Accepting new patients
Francis J. Collini, MD, Facs, P.C. PastSince Jan 1, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mmierzwa@lackaderm.medentdirect.com

Organizations & group practices 3

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": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1255920336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 N WASHINGTON AVE STE 200",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031535",
            "telephone_number": "570-961-5522",
            "fax_number": "570-207-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 PIERCE ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045500",
            "telephone_number": "570-287-1122",
            "fax_number": "570-207-5579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 N Washington Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "185031535",
            "country_code": "US",
            "telephone_number": "570-961-5522",
            "fax_number": "570-207-5579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMBERT",
        "first_name": "MARLEE",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA062182",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA062182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

Verify at the official NPI Registry.