Individual provider Active NPI

Lynnae Galella, PA

  • Medical Physician Assistant
  • Pittston, PA
National Provider Identifier
1629471107
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA057253L Issued in PA
Practice address
1099 S Township Blvd
Pittston, PA 18640-3247
Phone
(570) 655-6759
Fax
(570) 883-7446
NPI assigned
Sep 29, 2014
Last updated
Aug 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA057253L PA Primary

Addresses

Primary practice location

1099 S Township Blvd
Pittston, PA 18640-3247

Mailing address

1099 S Township Blvd
Pittston, PA 18640-3247
Phone (570) 655-6759

Other identifiers 1

IdentifierTypeStateIssuer
1031557440001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lynnae.galella.1@21771.direct.athenahealth.com

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
I20141105002254 PA Practitioner - Physician Assistant 3870715931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Commonwealth Physician Network LLCGroup PAC ID 2668696592, 63 clinicians

Practice addresses (Care Compare)

1099 S Township Blvd
Pittston, PA 18640-3247
Phone (570) 602-2400

4 E Main St
Nanticoke, PA 18634-1602
Phone (570) 735-7474

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as apm
Quality
78.34
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA057253LPAMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: lynnae.galella.1@21771.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1629471107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 S TOWNSHIP BLVD",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186403247",
            "telephone_number": "570-655-6759",
            "fax_number": "570-883-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 S TOWNSHIP BLVD",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186403247",
            "telephone_number": "570-655-6759",
            "fax_number": "570-883-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALELLA",
        "first_name": "LYNNAE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057253L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031557440001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lynnae.galella.1@21771.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1099 S Township Blvd",
            "city": "Pittston",
            "state": "PA",
            "country_code": "US",
            "postal_code": "186403247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittston, PA

Sources for this page

Verify at the official NPI Registry.