Individual provider Active NPI

Lisa Koropchak

  • Physician Assistant
  • Muncy, PA
National Provider Identifier
1366438699
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA003368L Issued in PA
Practice address
255 Route 220 Hwy Ste 205
Muncy, PA 17756-7568
Phone
(833) 552-1852
Fax
(570) 214-1523
NPI assigned
Sep 22, 2005
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 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 MA003368L PA Primary

Addresses

Primary practice location

255 Route 220 Hwy Ste 205
Muncy, PA 17756-7568

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (833) 552-1852

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lisa.a.koropchak@upmcdirect.com UPMC

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
I20050620000522 PA Practitioner - Physician Assistant 5991749061 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger-HM Joint Venture, LLC Physician Assistant CurrentSince Aug 1, 2025 Accepting new patients
Susquehanna Physician Services CurrentSince Jun 1, 2010 Accepting new patients
Susquehanna Physician Services Physician Assistant CurrentSince Jun 1, 2010 Accepting new patients
Geisinger Bloomsburg Hospital Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

255 Route 220 Hwy
Muncy, PA 17756
Phone (570) 308-2600

255 Route 220 Hwy
Ste 205
Muncy, PA 17756
Phone (570) 308-2445

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

1201 Grampian Blvd
Ste 2001
Williamsport, PA 17701

700 High St
Williamsport, PA 17701
Phone (570) 321-2000

740 High St
Ste 2001
Williamsport, PA 17701
Phone (570) 321-2805

Interoperability endpoints

  • Direct secure messaging: lisa.a.koropchak@upmcdirect.com
  • Direct secure messaging: lkoropchak648091@direct.geisinger.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1366438699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "833-552-1852",
            "fax_number": "570-214-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 ROUTE 220 HWY STE 205",
            "city": "MUNCY",
            "state": "PA",
            "postal_code": "177567568",
            "telephone_number": "833-552-1852",
            "fax_number": "570-214-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOROPCHAK",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA003368L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa.a.koropchak@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Muncy, PA

Sources for this page

Verify at the official NPI Registry.