NPIMap

Individual provider Active NPI

Chelsea Modesto

  • Medical Physician Assistant
  • Allentown, PA
National Provider Identifier
1376972653
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA056423 Issued in PA
Practice address
1901 Hamilton St
Suite 300
Allentown, PA 18104-6459
Phone
(610) 628-7920
Fax
(610) 821-2853
NPI assigned
Nov 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA056423 PA Primary

Addresses

Primary practice location

1901 Hamilton St
Suite 300
Allentown, PA 18104-6459

Mailing address

1901 Hamilton St
Suite 300
Allentown, PA 18104-6459
Phone (610) 628-7920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140124001013 PA Practitioner - Physician Assistant 6507094356 Reassigns benefits to 2 organizations
I20150319001405 NJ Practitioner - Physician Assistant 6507094356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians
St Lukes Warren Physician Group PCGroup PAC ID 9739093675, 374 clinicians

Practice addresses (Care Compare)

1021 Park Ave
Quakertown, PA 18951-0130

1872 St Lukes Blvd
Easton, PA 18045-5669
Phone (484) 526-7800

1901 W Hamilton St
300 St Lukes Nephrology Associates
Allentown, PA 18104-6459
Phone (610) 628-7920

2550 Route 100
Macungie, PA 18062-9600

279 State Route 31 S
Washington, NJ 07882-4098
Phone (484) 503-7546

30 Community Dr
Easton, PA 18045-2669
Phone (610) 628-7920

3000 St Lukes Dr
Quakertown, PA 18951-1696
Phone (484) 526-3950

421 Chew St
Allentown, PA 18102-3406
Phone (484) 503-1018

421 W Chew St
Allentown, PA 18102-3406
Phone (610) 776-4959

700 Lawn Ave
Sellersville, PA 18960-1548
Phone (484) 822-5700

755 Memorial Pkwy
Phillipsburg, NJ 08865-2748

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 Warren Hospital Hospital, Phillipsburg, NJ, CCN 310060
  • St Luke'S Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057
  • St Luke'S Hospital - Upper Bucks Campus Hospital, Quakertown, PA, CCN 390035
  • St Luke'S Hospital - Easton Campus Hospital, Easton, PA, CCN 390162

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA056423PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc CurrentSince Oct 21, 2013 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Oct 21, 2013 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Jan 21, 2015 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Jan 21, 2015 Accepting new patients
St. Luke'S Physician Group, Inc. Past Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients
Gslpg Inc Past Accepting new patients

Locations

755 Memorial Pkwy
Ste 100
Phillipsburg, NJ 08865
Phone (610) 252-6950

755 Memorial Pkwy
Ste 302A
Phillipsburg, NJ 08865
Phone (908) 847-2050

185 Roseberry St
Phillipsburg, NJ 08865
Phone (908) 213-6611

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

315 State Route 31 S
Washington, NJ 07882
Phone (908) 689-0777

1901 Hamilton St
Ste 300
Allentown, PA 18104
Phone (610) 628-7900

1941 Hamilton St
Ste 102
Allentown, PA 18104
Phone (610) 776-1603

1901 Hamilton St
Ste 200
Allentown, PA 18104
Phone (610) 628-7470

2125 Fairview Ave
Easton, PA 18042
Phone (610) 258-2801

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

2550 Route 100
Ste 220
Macungie, PA 18062
Phone (610) 628-7111

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

1220 3rd St
Whitehall, PA 18052
Phone (610) 264-4503

Interoperability endpoints

  • Direct secure messaging: chelsea.kliment@slpg.direct-sluhn.org

Organizations & group practices 10

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 10

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": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1376972653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 HAMILTON ST",
            "address_2": "SUITE 300",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046459",
            "telephone_number": "610-628-7920",
            "fax_number": "610-821-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 HAMILTON ST",
            "address_2": "SUITE 300",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046459",
            "telephone_number": "610-628-7920",
            "fax_number": "610-821-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODESTO",
        "first_name": "CHELSEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA056423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.