Individual provider Active NPI

Ariel Nichole Santore, PA-C

  • Physician Assistant
  • Bloomsburg, PA
National Provider Identifier
1265812499
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA003771 Issued in PA
Practice address
6850 Lows Rd
Ste 325
Bloomsburg, PA 17815-8708
Phone
(570) 784-5545
Fax
(570) 245-0240
NPI assigned
Jun 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X OA003771 PA Primary

Addresses

Primary practice location

6850 Lows Rd
Ste 325
Bloomsburg, PA 17815-8708

Mailing address

7 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-2123

Other identifiers 2

IdentifierTypeStateIssuer
2E4494OtherPAMEDICARE
1032160620001MedicaidPA

Other names 1

  • Ariel Nichole Middleton 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
I20150901000712 PA Practitioner - Physician Assistant 4587970827 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Practice Center PCGroup PAC ID 0244124212, 351 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

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

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

6850 Lows Rd
Suite 325B
Bloomsburg, PA 17815-8708
Phone (570) 784-5545

Hospital & facility affiliations

  • Geisinger Encompass Health Rehabilitation Hospital Inpatient rehabilitation facility, Danville, PA, CCN 393047

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OA003771PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Multi-Specialty CurrentSince Aug 3, 2015 Accepting new patients
Geisinger Clinic Sunbury Multi-Specialty CurrentSince Aug 3, 2015 Accepting new patients
Family Practice Center, PC Multi-Specialty CurrentSince Nov 1, 2022 Accepting new patients
Geisinger Clinic Selinsgrove Multi-Specialty Past Accepting new patients

Locations

6850 Lows Rd
Ste 325B
Bloomsburg, PA 17815
Phone (570) 317-2763

6850 Lows Rd
Ste 325
Bloomsburg, PA 17815
Phone (570) 784-5545

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

385 State St
Sunbury, PA 17801
Phone (570) 286-6773

Interoperability endpoints

  • Direct secure messaging: arielsantorepac@fpc.medentdirect.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.

Hospital & facility affiliations 1

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": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1265812499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DOCK HILL RD",
            "city": "MIDDLEBURG",
            "state": "PA",
            "postal_code": "178428910",
            "telephone_number": "570-837-2123",
            "fax_number": "570-837-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 LOWS RD",
            "address_2": "STE 325",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178158708",
            "telephone_number": "570-784-5545",
            "fax_number": "570-245-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTORE",
        "first_name": "ARIEL",
        "middle_name": "NICHOLE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2022-11-02",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA003771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2E4494",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032160620001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARIEL",
            "last_name": "MIDDLETON",
            "middle_name": "NICHOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomsburg, PA

Sources for this page

Verify at the official NPI Registry.