Individual provider Active NPI

Alexis Adrianna Wislotsky, PA-C

  • Medical Physician Assistant
  • Bethlehem, PA
National Provider Identifier
1689437196
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA065282 Issued in PA
Practice address
1665 Valley Center Pkwy Ste 130
Bethlehem, PA 18017-2352
Phone
(610) 317-0208
NPI assigned
Feb 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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 MA065282 PA Primary

Addresses

Primary practice location

1665 Valley Center Pkwy Ste 130
Bethlehem, PA 18017-2352

Mailing address

574 Airport Rd
Ashland, PA 17921-9125
Phone (570) 933-0921

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
I20240507002586 PA Practitioner - Physician Assistant 7315388428 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

1611 Pond Rd
Allentown, PA 18104-2258

5649 Wynnewood Dr
Laurys Station, PA 18059-1124

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA065282PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hazleton Professional Services CurrentSince May 13, 2024 Accepting new patients
Valley Health Partners Community Health Center Current Accepting new patients
Lehigh Valley Physician Group CurrentSince May 1, 2024 Accepting new patients
Schuylkill Health System Medical Group, Inc. CurrentSince May 13, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince May 1, 2024 Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

1627 Chew St
Fl 1
Allentown, PA 18102
Phone (610) 969-2800

1245 S Cedar Crest Blvd
Ste 201
Allentown, PA 18103
Phone (610) 402-4870

1665 Valley Center Pkwy
Ste 130
Bethlehem, PA 18017
Phone (610) 317-0208

120 Burrus Blvd
Ste 200
Brodheadsville, PA 18322
Phone (570) 420-6300

1000 Alliance Dr
#10
Hazleton, PA 18202
Phone (570) 501-6450

237 S Mountain Blvd
Ste 7
Mountain Top, PA 18707
Phone (570) 261-5000

171 Red Horse Rd
Pottsville, PA 17901
Phone (570) 628-2229

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

600 Commerce Blvd
Stroudsburg, PA 18360
Phone (570) 424-7390

224 Claremont Ave
Tamaqua, PA 18252
Phone (570) 628-2229

Interoperability endpoints

  • Direct secure messaging: awislotsky1010693@direct2.lvhn.org

Organizations & group practices 10

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 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": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1689437196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "574 AIRPORT RD",
            "city": "ASHLAND",
            "state": "PA",
            "postal_code": "179219125",
            "telephone_number": "570-933-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 VALLEY CENTER PKWY STE 130",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180172352",
            "telephone_number": "610-317-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISLOTSKY",
        "first_name": "ALEXIS",
        "middle_name": "ADRIANNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA065282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.