Kelsie Pane, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA056457 Issued in PA

Practice address

575 S 9TH St
Lehighton, PA 18235-2517

Phone

(844) 822-5320

NPI assigned

Nov 6, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Luke'S HospitalGroup PAC ID 0648189688, 100 clinicians

St. Luke'S Quakertown HospitalGroup PAC ID 8224010350, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• St. Luke'S Quakertown Hospital

  • Anatomic Pathology & Clinical Pathology Physician
  • Quakertown, PA
  • NPI 1225052616
  Medicare reassignment Care Compare group NPD
• St. Luke'S Hospital

  • Urgent Care Clinic/Center
  • Bethlehem, PA
  • NPI 1740232719
  Medicare reassignment Care Compare group
• GSL Hospital

  • Urgent Care Clinic/Center
  • Pottsville, PA
  • NPI 1073256608
  Medicare reassignment NPD
• St. Luke'S Hosptial

  • Urgent Care Clinic/Center
  • Wind Gap, PA
  • NPI 1376965731
  Medicare reassignment NPD
• St. Luke'S Hospital Monroe Campus

  • Occupational Medicine Physician
  • Stroudsburg, PA
  • NPI 1609311257
  Medicare reassignment
• The Carbon-Schuylkill Community Hospital, Inc.

  • Emergency Medicine Physician
  • Coaldale, PA
  • NPI 1194891010
  Medicare reassignment
• St Luke'S Hospital

  • General Acute Care Hospital
  • Easton, PA
  • NPI 1376339226
  NPD
• St Luke'S Hospital

  • Urgent Care Clinic/Center
  • Reading, PA
  • NPI 1417649021
  NPD
• St. Luke'S Hospital - Anderson Campus

  • Psychiatric Hospital Unit
  • Easton, PA
  • NPI 1023689676
  NPD
• St. Luke'S Hospital Monroe Campus

  • Urgent Care Clinic/Center
  • East Stroudsburg, PA
  • NPI 1467175489
  NPD
• St. Luke'S Quakertown Hospital

  • Urgent Care Clinic/Center
  • Lansdale, PA
  • NPI 1326920836
  NPD
• The Carbon Schuylkill Community Hospital, Inc.

  • Urgent Care Clinic/Center
  • Lehighton, PA
  • NPI 1386185452
  NPD

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1528497971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 S 9TH ST",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182352517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 S 9TH ST",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182352517",
            "telephone_number": "844-822-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANE",
        "first_name": "KELSIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tanya Lynn Petaccio, CRNP

• Physician Assistant in Lehighton, PA
• Providers in Lehighton, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.