NPIMap

Individual provider Active NPI

Bethany Kristen Engel, PA-C

  • Physician Assistant
  • Muncy, PA
National Provider Identifier
1629377015
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA053519 Issued in PA
Practice address
151 John Brady Dr
Muncy, PA 17756-8401
Phone
(570) 935-0468
Fax
(570) 935-0479
NPI assigned
Mar 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA053519 PA Primary

Addresses

Primary practice location

151 John Brady Dr
Muncy, PA 17756-8401

Mailing address

7 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-2123

Other names 1

  • Bethany Kristen Lavallee Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BethanyEngelPA@fpc.medentdirect.com Health Information Exchange (HIE) FAMILY PRACTICE CENTER, PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110427000553 PA Practitioner - Physician Assistant 4789869298 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Practice Center PCGroup PAC ID 0244124212, 351 clinicians
H2 Rehabilitation Extension Services LLCGroup PAC ID 6406131622, shared by 5 NPIs, 161 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

1 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-5889

105 W Main St
Valley View, PA 17983-9423
Phone (570) 682-8026

1100 Montour Rd
Loysville, PA 17047-9200
Phone (717) 789-3553

1106 Montour Rd
Loysville, PA 17047-9200
Phone (717) 789-3227

1205 River Ave
Williamsport, PA 17701-3724

151 John Brady Dr
Muncy, PA 17756-8401
Phone (570) 935-0468

1948 E 3Rd St
Suite C
Williamsport, PA 17701-3945
Phone (570) 327-1760

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

270 Susquehanna Valley Mall Dr
Selinsgrove, PA 17870-9115

Hospital & facility affiliations

  • Compass Home Health and Rehab LLC Home health agency, Plains, PA, CCN 397466
  • Residential Home Health of NC PA, LLC Home health agency, Lewisburg, PA, CCN 398144
  • Upmc Williamsport Hospital, Williamsport, PA, CCN 390045
  • Upmc Muncy Hospital, Muncy, PA, CCN 391301
  • Wellspan Evangelical Community Hospital Hospital, Lewisburg, PA, CCN 390013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Center, PC Physician Assistant CurrentSince May 1, 2013 Accepting new patients
Liberty Med Associates LLC PastSince May 1, 2025 Accepting new patients

Locations

7 Dock Hill Rd
Middleburg, PA 17842
Phone (570) 837-2123

151 John Brady Dr
Muncy, PA 17756
Phone (570) 308-1137

1205 River Ave
#1
Williamsport, PA 17701
Phone (570) 323-5991

Interoperability endpoints

  • Direct secure messaging: bethanyengelpa@fpc.medentdirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1629377015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DOCK HILL RD",
            "city": "MIDDLEBURG",
            "state": "PA",
            "postal_code": "178428910",
            "telephone_number": "570-837-2123",
            "fax_number": "570-837-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 JOHN BRADY DR",
            "city": "MUNCY",
            "state": "PA",
            "postal_code": "177568401",
            "telephone_number": "570-935-0468",
            "fax_number": "570-935-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGEL",
        "first_name": "BETHANY",
        "middle_name": "KRISTEN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-24",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA053519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BethanyEngelPA@fpc.medentdirect.com",
            "affiliation": "Y",
            "affiliationName": "FAMILY PRACTICE CENTER, PC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "151 John Brady Dr",
            "city": "Muncy",
            "state": "PA",
            "country_code": "US",
            "postal_code": "177568401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "LAVALLEE",
            "middle_name": "KRISTEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Muncy, PA

Sources for this page

Verify at the official NPI Registry.