Individual provider Active NPI

Nicholas V Pampena, PA-C

  • Physician Assistant
  • Camp Hill, PA
National Provider Identifier
1700355526
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA060388 Issued in PA
Practice address
3399 Trindle Rd
Camp Hill, PA 17011-4407
Phone
(717) 761-5530
Fax
(717) 737-7197
NPI assigned
Nov 21, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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 MA060388 PA Primary

Addresses

Primary practice location

3399 Trindle Rd
Camp Hill, PA 17011-4407

Mailing address

3399 Trindle Rd
Camp Hill, PA 17011-4407
Phone (717) 920-1861

Other identifiers 2

IdentifierTypeStateIssuer
OA004705OtherPAOSTEOPATHIC PHYSICIAN ASSISTANT LICENSE
MA060388OtherPAALLOPATHIC PHYSICIAN ASSISTANT LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address npampena@oip.medentdirect.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
I20190327000367 PA Practitioner - Physician Assistant 6103166210 Reassigns benefits to 1 organization

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
Orthopedic Surgeons LTDGroup PAC ID 4385535244, 92 clinicians

Practice addresses (Care Compare)

1703 Innovation Dr
York, PA 17408-8815
Phone (717) 761-5530

450 Powers Ave
Harrisburg, PA 17109-5933
Phone (717) 920-4950

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA060388PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Surgeons LTD CurrentSince Feb 10, 2019 Accepting new patients
Orthopedic Surgeons LTD CurrentSince Feb 10, 2019 Accepting new patients

Locations

3399 Trindle Rd
Camp Hill, PA 17011
Phone (717) 901-4236

250 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 837-5481

450 Powers Ave
Lower Paxton, PA 17109
Phone (717) 615-1409

Interoperability endpoints

  • Direct secure messaging: npampena@oip.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 3

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": "1542758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1700355526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3399 TRINDLE RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114407",
            "telephone_number": "717-920-1861",
            "fax_number": "717-901-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3399 TRINDLE RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114407",
            "telephone_number": "717-761-5530",
            "fax_number": "717-737-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAMPENA",
        "first_name": "NICHOLAS",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-21",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA060388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSTEOPATHIC PHYSICIAN ASSISTANT LICENSE",
            "identifier": "OA004705",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLOPATHIC PHYSICIAN ASSISTANT LICENSE",
            "identifier": "MA060388",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "npampena@oip.medentdirect.com",
            "affiliation": "N",
            "address_1": "3399 Trindle Rd",
            "city": "Camp Hill",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170114407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.