Individual provider Active NPI

Kylie Nicole Weiss, PA-C

  • Physician Assistant
  • Allentown, PA
National Provider Identifier
1598489296
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
501 Cetronia Rd
Allentown, PA 18104-9569
Phone
(484) 426-2513
NPI assigned
Sep 27, 2022
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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 Primary
Medical Physician Assistant 363AM0700X

Addresses

Primary practice location

501 Cetronia Rd
Allentown, PA 18104-9569

Mailing address

501 Cetronia Rd
Allentown, PA 18104-9569
Phone (484) 426-2513

Other names 1

  • Kylie Rosamalia Former name

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
I20230920001198 PA Practitioner - Physician Assistant 6800240193 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Luke's HospitalGroup PAC ID 0648189688, 100 clinicians

Practice addresses (Care Compare)

1104 N St
St Luke's Care Now
Jim Thorpe, PA 18229-1717
Phone (570) 325-2400

153 Brodhead Rd
Bethlehem, PA 18017-8931
Phone (484) 526-3218

2402 Macarthur Rd
Whitehall, PA 18052-3810
Phone (484) 426-2026

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Hospital - Anderson Campus CurrentSince May 11, 2023 Accepting new patients
GSL Hospital CurrentSince May 11, 2023 Accepting new patients
The Carbon-Schuylkill Community Hospital, Inc. CurrentSince May 11, 2023 Accepting new patients
St. Luke's Quakertown Hospital CurrentSince May 11, 2023 Accepting new patients
St Luke's Hospital CurrentSince May 11, 2023 Accepting new patients
St. Luke's Hosptial CurrentSince May 11, 2023 Accepting new patients
St. Luke's Hospital Monroe Campus CurrentSince May 11, 2023 Accepting new patients
St. Luke's Quakertown Hospital CurrentSince May 11, 2023 Accepting new patients
St. Luke's Hospital CurrentSince May 11, 2023 Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. CurrentSince May 11, 2023 Accepting new patients

Locations

501 Cetronia Rd
Allentown, PA 18104
Phone (484) 426-2501

111 Route 715
Brodheadsvlle, PA 18322
Phone (272) 212-0420

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

1104 North St
Jim Thorpe, PA 18229
Phone (570) 325-2400

2650 Woodglen Rd
Pottsville, PA 17901
Phone (272) 639-5755

487 E Moorestown Rd
Wind Gap, PA 18091
Phone (484) 526-7850

Interoperability endpoints

  • Direct secure messaging: kylie.rosamalia@slpg.direct-sluhn.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1598489296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 CETRONIA RD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049569",
            "telephone_number": "484-426-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CETRONIA RD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049569",
            "telephone_number": "484-426-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "KYLIE",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLIE",
            "last_name": "ROSAMALIA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.