Individual provider Active NPI

Alysson Marie Oberwanowicz, PA-C

  • Physician Assistant
  • Bethlehem, PA
National Provider Identifier
1366879660
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
834 Easton Ave
1St Floor
Bethlehem, PA 18018-1832
Phone
(570) 501-6368
NPI assigned
Oct 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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 Primary

Addresses

Primary practice location

834 Easton Ave
1St Floor
Bethlehem, PA 18018-1832

Mailing address

834 Easton Ave
1St Floor
Bethlehem, PA 18018-1832
Phone (570) 501-6368

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
I20150828001725 PA Practitioner - Physician Assistant 3173839685 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

125 Smithfield LN
East Stroudsburg, PA 18301-8704
Phone (484) 526-7300

1581 N 9TH St
Stroudsburg, PA 18360-7576
Phone (272) 212-0620

306 S New St
Bethlehem, PA 18015-1652

306 S New Street
Bethlehem, PA 18015-1652

6689 Sullivan TRL
Wind Gap, PA 18091-9790
Phone (610) 954-4960

6695 Sullivan TRL
Suite 201
Wind Gap, PA 18091-9790
Phone (610) 691-3131

800 Eaton Ave
Bethlehem, PA 18018-1832

801 Ostrm St
Bethlehem, PA 18015-1000

834 Eaton Ave
Bethlehem, PA 18018-1832
Phone (484) 526-7780

834 Eaton Avenue 1St Floor
St Luke'S Obstetrics and Gynecology Associa
Bethlehem, PA 18018-1832
Phone (484) 526-7474

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • St Luke'S Hospital - Monroe Campus Hospital, Stroudsburg, PA, CCN 390330

Merit-based Incentive Payment System (MIPS)

Final score
81.09 of 100Reported as group
Quality
74.47
Promoting interoperability
86
Improvement activities
40
Cost
74.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021686NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc CurrentSince Feb 24, 2025 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Feb 24, 2025 Accepting new patients
Family Care Centers Inc. CurrentSince Nov 14, 2022 Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300

125 Smithfield Ln
East Stroudsburg, PA 18301
Phone (272) 212-3872

179 Independence Rd
East Stroudsburg, PA 18301
Phone (570) 421-8526

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1581 N 9th St
Stroudsburg, PA 18360
Phone (272) 212-4490

Interoperability endpoints

  • Direct secure messaging: aoberwanowicz339776@direct-sluhn.org

Organizations & group practices 5

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 7

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": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1366879660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 EASTON AVE",
            "address_2": "1ST FLOOR",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180181832",
            "telephone_number": "570-501-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 EASTON AVE",
            "address_2": "1ST FLOOR",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180181832",
            "telephone_number": "570-501-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERWANOWICZ",
        "first_name": "ALYSSON",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-01",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.