Individual provider Active NPI

Andrea Michelle Velasquez, PA-C

  • Medical Physician Assistant
  • Gettysburg, PA
National Provider Identifier
1437591773
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA056145 Issued in PA
Practice address
1275 York Rd Ste 17
Gettysburg, PA 17325-7565
Phone
(717) 337-9400
Fax
(717) 337-1205
NPI assigned
Jul 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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 MA056145 PA Primary

Addresses

Primary practice location

1275 York Rd Ste 17
Gettysburg, PA 17325-7565

Mailing address

116 S George St
York, PA 17401-1474
Phone (717) 845-8617

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
I20141107001339 PA Practitioner - Physician Assistant 5496985665 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Health Corporation CurrentSince Aug 30, 2014 Accepting new patients
Family First Health Corporation CurrentSince Aug 30, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1275 York Rd
Ste 17
Gettysburg, PA 17325
Phone (717) 337-9400

116 S George St
York, PA 17401
Phone (717) 801-4846

Interoperability endpoints

  • Direct secure messaging: andrea.velasquez.1@7492.direct.athenahealth.com

Organizations & group practices 3

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": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1437591773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174011474",
            "telephone_number": "717-845-8617",
            "fax_number": "717-854-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 YORK RD STE 17",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173257565",
            "telephone_number": "717-337-9400",
            "fax_number": "717-337-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASQUEZ",
        "first_name": "ANDREA",
        "middle_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-29",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA056145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, PA

Sources for this page

Verify at the official NPI Registry.