Active NPI
Julia Tinik, PA-C
- Physician Assistant
- Lewisberry, PA
National Provider Identifier
1356817399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- OA005339
- Practice address
- 689 Yorktown Rd
Lewisberry, PA 17339-9258 - Phone
- (717) 932-4050
- Fax
- (717) 932-8072
- NPI assigned
- Oct 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | OA005339 | PA | Primary |
Addresses
Primary practice location
689 Yorktown Rd
Lewisberry, PA 17339-9258
Mailing address
7 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-2123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1035807580003 | Medicaid | PA |
Other names 1
- Julia Shandra
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | juliashandrapa@fpc.medentdirect.com | Health Information Exchange (HIE) | FAMILY PRACTICE CENTER, PC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-5889
689 Yorktown Rd
Lewisberry, PA 17339-9258
Phone (717) 932-4050
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OA005339 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Practice Center, PC | Multi-Specialty | Current | Accepting new patients |
Locations
689 Yorktown Rd
Lewisberry, PA 17339
Phone (717) 932-3830
7 Dock Hill Rd
Middleburg, PA 17842
Phone (570) 837-2123
270 Susquehanna Valley Mall Dr
Ste 300
Selinsgrove, PA 17870
Phone (570) 743-1703
Interoperability endpoints
- juliashandrapa@fpc.medentdirect.com
Organizations & group practices 1
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 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Camp Hill, PA
- NPI 1659566008
Hospital
-
- General Acute Care Hospital
- Camp Hill, PA
- NPI 1881690212
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1265537674
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1407813603
-
- General Acute Care Hospital
- Mechanicsburg, PA
- NPI 1972613305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1356817399",
"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": "689 YORKTOWN RD",
"city": "LEWISBERRY",
"state": "PA",
"postal_code": "173399258",
"telephone_number": "717-932-4050",
"fax_number": "717-932-8072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINIK",
"first_name": "JULIA",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-17",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "PA",
"license": "OA005339",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1035807580003",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "juliashandrapa@fpc.medentdirect.com",
"affiliation": "Y",
"affiliationName": "FAMILY PRACTICE CENTER, PC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "689 Yorktown Rd",
"city": "Lewisberry",
"state": "PA",
"country_code": "US",
"postal_code": "173399258",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JULIA",
"last_name": "SHANDRA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lewisberry, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.