Individual provider Active NPI

Jaret Tyler Melchior, PA-C

  • Physician Assistant
  • Lancaster, PA
National Provider Identifier
1295614204
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA066955 Issued in PA
Practice address
555 N Duke St
Lancaster, PA 17602-2207
Phone
(717) 544-5945
Fax
(717) 544-5944
NPI assigned
Sep 2, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 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 MA066955 PA Primary

Addresses

Primary practice location

555 N Duke St
Lancaster, PA 17602-2207

Mailing address

555 N Duke St
Lancaster, PA 17602-2207
Phone (717) 544-5945

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
I20251117002417 PA Practitioner - Physician Assistant 4981195054 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General HospitalGroup PAC ID 1254240039, 520 clinicians

Practice addresses (Care Compare)

2106 Harrisburg Pike
Suite 310
Lancaster, PA 17601-2644
Phone (717) 544-5945

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA066955PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Dec 15, 2025 Accepting new patients
Lancaster General Medical Group CurrentSince Dec 15, 2025 Accepting new patients
Lanaster General Hospital CurrentSince Dec 15, 2025 Accepting new patients
Lancaster General Hospital CurrentSince Dec 15, 2025 Accepting new patients

Locations

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

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

2106 Harrisburg Pike
Ste 310
Lancaster, PA 17601
Phone (717) 544-0545

554 N Duke St
Lancaster, PA 17602
Phone (717) 291-5863

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 3

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": "1756771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1295614204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022207",
            "telephone_number": "717-544-5945",
            "fax_number": "717-544-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022207",
            "telephone_number": "717-544-5945",
            "fax_number": "717-544-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELCHIOR",
        "first_name": "JARET",
        "middle_name": "TYLER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-09-02",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA066955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.