Individual provider Active NPI

Lindsay Hummell, PA

  • Physician Assistant
  • Lansdale, PA
National Provider Identifier
1407406234
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00681300 Issued in NJ
Practice address
1019 S Broad St
Lansdale, PA 19446-5338
Phone
(215) 361-5090
NPI assigned
Sep 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X OA004996 PA
Physician Assistant 363A00000X 25MP00681300 NJ Primary
Medical Physician Assistant 363AM0700X MA061026 PA

Addresses

Primary practice location

1019 S Broad St
Lansdale, PA 19446-5338

Mailing address

1645 Clemens Rd
Harleysville, PA 19438-2903
Phone (267) 421-8687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20220514000223 NJ Practitioner - Physician Assistant 3072945674 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA061026PAMDMedical Physician Assistant
OA004996PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kennedy Medical Group Practice P.C. CurrentSince May 5, 2022 Accepting new patients
Kennedy Medical Group Practice PC CurrentSince May 5, 2022 Accepting new patients
LMG Family Practice PastSince Sep 15, 2019 Accepting new patients
Jefferson University Physicians Past Accepting new patients

Locations

457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091

Interoperability endpoints

  • Direct secure messaging: lindsay.hummell.p1@direct.lmg.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1407406234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 CLEMENS RD",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194382903",
            "telephone_number": "267-421-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 S BROAD ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465338",
            "telephone_number": "215-361-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMMELL",
        "first_name": "LINDSAY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA004996",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00681300",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA061026",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

Verify at the official NPI Registry.