Individual provider Active NPI

Chelsea Diane Fought, PA-C

  • Medical Physician Assistant
  • Lancaster, PA
National Provider Identifier
1548692569
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA056265 Issued in PA
Practice address
1808 Colonial Village LN Ste 103
Lancaster, PA 17601-6709
Phone
(717) 391-0172
NPI assigned
Aug 1, 2013
Last updated
Mar 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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 MA056265 PA
Medical Physician Assistant 363AM0700X MA056265 PA Primary

Addresses

Primary practice location

1808 Colonial Village LN Ste 103
Lancaster, PA 17601-6709

Mailing address

1013 Shadowstone Dr
Lancaster, PA 17603-9756
Phone (717) 517-2505

Other practice location 1

16 Manor Ave Ste A
Millersville, PA 17551-1132
Phone (717) 872-5444

Other identifiers 2

IdentifierTypeStateIssuer
MA056265OtherPAMEDICAL PHYSICIAN ASSISTANT LICENSE
OA003085OtherPAOSTEOPATHIC PHYSICIAN ASSISTANT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
65.84
Promoting interoperability
100
Improvement activities
40
Cost
77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA056265PAMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1548692569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 SHADOWSTONE DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176039756",
            "telephone_number": "717-517-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 COLONIAL VILLAGE LN STE 103",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016709",
            "telephone_number": "717-391-0172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Manor Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Millersville",
            "state": "PA",
            "postal_code": "175511132",
            "country_code": "US",
            "telephone_number": "717-872-5444",
            "fax_number": "717-872-1537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOUGHT",
        "first_name": "CHELSEA",
        "middle_name": "DIANE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056265",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA056265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PHYSICIAN ASSISTANT LICENSE",
            "identifier": "MA056265",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSTEOPATHIC PHYSICIAN ASSISTANT LICENSE",
            "identifier": "OA003085",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.