Individual provider Active NPI

Leslie A Mulhern, PA C

  • Physician Assistant
  • Tunkhannock, PA
National Provider Identifier
1457314668
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA001906L Issued in PA
Practice address
10 Trieble Dr
Tunkhannock, PA 18657-7054
Phone
(570) 996-2700
Fax
(570) 996-2711
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 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 MA001906L PA Primary

Addresses

Primary practice location

10 Trieble Dr
Tunkhannock, PA 18657-7054

Mailing address

100 N Academy Ave
Danville, PA 17822-3034
Phone (570) 271-6144

Other practice location 1

809 Hunter Hwy
Tunkhannock, PA 18657-8202
Phone (570) 996-2700

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lmulhern60457@direct.geisinger.edu Direct
Direct Messaging Address lmulhern60457@direct.geisinger.edu Direct

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
I20040708000173 PA Practitioner - Physician Assistant 1951389923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

10 Trieble Dr
Tunkhannock, PA 18657-7054
Phone (570) 996-2700

809 Hunter Hwy
Tunkhannock, PA 18657-8202
Phone (570) 996-2700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Jul 25, 2012 Accepting new patients
Geisinger Clinic Physician Assistant CurrentSince Jul 25, 2012 Accepting new patients
Geisinger Clinic Physician Assistant Current Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

4004 Birney Ave
Moosic, PA 18507
Phone (570) 344-4711

126 Market Way
Mount Pocono, PA 18344
Phone (570) 839-3633

531 Mt Pleasant Dr
Scranton, PA 18503
Phone (570) 342-8500

809 Hunter Hwy
Tunkhannock, PA 18657
Phone (570) 966-2700

10 Trieble Dr
Tunkhannock, PA 18657
Phone (570) 836-2273

110 Trieble Dr
Tunkhannock, PA 18657
Phone (570) 996-2700

10 Trieble Dr
Ste 3
Tunkhannock, PA 18657
Phone (570) 836-2020

133 W Tioga St
Tunkhannock, PA 18657
Phone (570) 836-2722

35 S Mountain Blvd
Wilkes Barre, PA 18707
Phone (570) 474-5072

50 Roosevelt Ter
Wilkes Barre, PA 18702
Phone (570) 808-8780

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1457314668",
    "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": "178223034",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 TRIEBLE DR",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186577054",
            "telephone_number": "570-996-2700",
            "fax_number": "570-996-2711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 Hunter Hwy",
            "address_purpose": "LOCATION",
            "city": "Tunkhannock",
            "state": "PA",
            "postal_code": "186578202",
            "country_code": "US",
            "telephone_number": "570-996-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULHERN",
        "first_name": "LESLIE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA001906L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmulhern60457@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10 Trieble Dr",
            "city": "Tunkhannock",
            "state": "PA",
            "country_code": "US",
            "postal_code": "186577054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmulhern60457@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "809 Hunter Hwy",
            "city": "Tunkhannock",
            "state": "PA",
            "country_code": "US",
            "postal_code": "186578202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tunkhannock, PA

Sources for this page

Verify at the official NPI Registry.