Individual provider Active NPI

Leah Alexandra Merrick, PA-C

  • Medical Physician Assistant
  • Kingston, PA
National Provider Identifier
1508405739
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA061237 Issued in PA
Practice address
560 Pierce St
Kingston, PA 18704-5716
Phone
(570) 714-5810
Fax
(570) 714-5811
NPI assigned
Jan 6, 2020
Last updated
Mar 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MM5832123 PA
Medical Physician Assistant 363AM0700X MA061237 PA Primary

Addresses

Primary practice location

560 Pierce St
Kingston, PA 18704-5716

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 714-5810

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
I20200220001644 PA Practitioner - Physician Assistant 3779910385 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

701 W Oak St
Fracksville, PA 17931-1672
Phone (570) 874-4100

Merit-based Incentive Payment System (MIPS)

Final score
83.3 of 100Reported as group
Quality
74.59
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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Care Services of Pennsylvania, P.C. Physician Assistant CurrentSince Mar 15, 2026 Accepting new patients
St Luke's Physician Group Inc CurrentSince Jun 21, 2023 Accepting new patients
Pennsylvania Physician Services, LLC CurrentSince Oct 20, 2021 Accepting new patients
Geisinger Clinic CurrentSince Mar 17, 2025 Accepting new patients
St Luke's Physician Group Inc CurrentSince Jun 21, 2023 Accepting new patients
Geisinger Clinic Physician Assistant CurrentSince Mar 17, 2025 Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

114 Lt Michael Cleary Dr
Dallas, PA 18612
Phone (570) 255-1178

100 N Academy Ave
Danville, PA 17822

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

701 W Oak St
Frackville, PA 17931
Phone (570) 874-4100

560 Pierce St
Kingston, PA 18704
Phone (570) 283-2161

5 Lakeview Dr
Moosic, PA 18507
Phone (570) 558-2180

128 E Main St
Nanticoke, PA 18634
Phone (570) 258-1304

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

1201 Oak St
Pittston, PA 18640
Phone (570) 808-9800

42 N Main St
Pittston, PA 18640
Phone (570) 602-5610

3 W Olive St
Scranton, PA 18508
Phone (570) 207-4054

631 Northern Blvd
South Abington Township, PA 18411
Phone (570) 340-6920

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

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

575 N River St
Wilkes Barre Township, PA 18702
Phone (570) 283-3222

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1508405739",
    "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": "178224903",
            "telephone_number": "570-714-5810",
            "fax_number": "570-714-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 PIERCE ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045716",
            "telephone_number": "570-714-5810",
            "fax_number": "570-714-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRICK",
        "first_name": "LEAH",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MM5832123",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA061237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

Verify at the official NPI Registry.