Kara Rose Fagerstrom, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA065979 Issued in PA

Practice address

3151 Walbert Ave Ste 200
Allentown, PA 18104-6042

Phone

(484) 526-1735

Fax

(484) 526-2429

NPI assigned

Sep 20, 2024

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gslpg, IncGroup PAC ID 7810226875, 269 clinicians

St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
• St Luke'S Hospital - Upper Bucks Campus Hospital, Quakertown, PA, CCN 390035

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations (25 of 29)

Interoperability endpoints

• Direct secure messaging: kfagerstrom219454@direct-sluhn.org

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.

• Gslpg, Inc

  • Specialist
  • Orwigsburg, PA
  • NPI 1366006702
  Medicare reassignment Care Compare group
• St. Luke'S Physician Group, Inc.

  • Family Medicine Physician
  • Bethlehem, PA
  • NPI 1700984622
  Medicare reassignment Care Compare group
• St Luke'S Physician Group Inc

  • Foot & Ankle Surgery Podiatrist
  • Bethlehem, PA
  • NPI 1376003541
  NPD
• St Luke'S Physician Group Inc

  • Family Medicine Physician
  • Orwigsburg, PA
  • NPI 1710845144
  NPD
• Gslpg Inc

  • Multi-Specialty Clinic/Center
  • Orwigsburg, PA
  • NPI 1336772490
  NPD (past)
• Gslpg Inc

  • Family Medicine Physician
  • Orwigsburg, PA
  • NPI 1750848321
  NPD (past)
• St. Luke'S Physician Group, Inc

  • Obstetrics & Gynecology Physician
  • Bethlehem, PA
  • NPI 1447801535
  NPD (past)
• St. Luke'S Physician Group, Inc.

  • Maternal & Fetal Medicine Physician
  • Fountain Hill, PA
  • NPI 1003867623
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Luke'S Hospital

  • General Acute Care Hospital
  • Allentown, PA
  • NPI 1366011413
  Care Compare affiliation
• St Luke'S Hospital

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

  • General Acute Care Hospital
  • Lehighton, PA
  • NPI 1528737988
  Care Compare affiliation
• St Lukes Hospital

  • General Acute Care Hospital
  • Bethlehem, PA
  • NPI 1013933175
  Care Compare affiliation
• St Lukes Quakertown Hospital

  • General Acute Care Hospital
  • Quakertown, PA
  • NPI 1669405072
  Care Compare affiliation
• St. Luke'S Hospital

  • General Acute Care Hospital
  • Allentown, PA
  • NPI 1548293954
  Care Compare affiliation
• St. Luke'S Hospital Bethlehem

  • Adult Mental Health Clinic/Center
  • Lehighton, PA
  • NPI 1962094920

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1609693852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 WALBERT AVE STE 200",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046042",
            "telephone_number": "484-526-1735",
            "fax_number": "484-526-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 WALBERT AVE STE 200",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046042",
            "telephone_number": "484-526-1735",
            "fax_number": "484-526-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGERSTROM",
        "first_name": "KARA",
        "middle_name": "ROSE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA065979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Post Ezrow, LCSW
• Mary Patricia Fabian, M.D.
• Sunshine Fachet, MS OTR/L
• Hagar Fadel
• Amber Fagan, BCBA
• Ellen Fairchild
• Fairmont Dental Associates PC
• Fairmont Medical Center, LLC
• Ali Fakhimi
• Stephen P Falatyn, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.