Individual provider Active NPI

Alexa M Maddy, PA-C

  • Physician Assistant
  • Lancaster, PA
National Provider Identifier
1689159733
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
555 N Duke St
Lancaster, PA 17602-2250
Phone
(717) 544-5945
NPI assigned
Sep 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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 Primary

Addresses

Primary practice location

555 N Duke St
Lancaster, PA 17602-2250

Mailing address

555 N Duke St
Lancaster, PA 17602-2250

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
I20190115001204 PA Practitioner - Physician Assistant 1850637778 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General HospitalGroup PAC ID 1254240039, 520 clinicians

Practice addresses (Care Compare)

2100 Harrisburg Pike
Lancaster, PA 17601-2644

2102 Harrisburg Pike
Lancaster, PA 17601-2644
Phone (717) 544-3113

2106 Harrisburg Pike
Suite 310
Lancaster, PA 17601-2644
Phone (717) 544-5945

2108 Harrisburg Pike
Suite 315
Lancaster, PA 17601-2644
Phone (717) 544-3555

2112 Harrisburg Pike
Lancaster, PA 17601-2644

554 N Duke St FL
3 Penn Med Lanc Gen Health Phys Comprehensi
Lancaster, PA 17602-2250
Phone (717) 554-4943

555 N Duke St
Lancaster, PA 17602-2250

Hospital & facility affiliations

  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100
  • Wellspan Ephrata Community Hospital Hospital, Ephrata, PA, CCN 390225

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Jun 1, 2019 Accepting new patients
Lancaster General Hospital CurrentSince Dec 3, 2018 Accepting new patients
Lancaster General Hospital CurrentSince Sep 22, 2019 Accepting new patients
Lancaster General Hospital CurrentSince Dec 3, 2018 Accepting new patients
Lancaster General Medical Group CurrentSince Jun 1, 2019 Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

426 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 299-1301

554 N Duke St
Lancaster, PA 17602
Phone (717) 291-5863

2104 Harrisburg Pike
Ste 200
Lancaster, PA 17601
Phone (717) 290-3626

2106 Harrisburg Pike
Ste 310
Lancaster, PA 17601
Phone (717) 544-0545

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

950 S Octorara Trl
#H
Parkesburg, PA 19365
Phone (717) 544-3737

Organizations & group practices 8

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 7

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": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1689159733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022250",
            "telephone_number": "717-544-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDY",
        "first_name": "ALEXA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.