Individual provider Active NPI

Mikayla Bates

  • Physician Assistant
  • Bethlehem, PA
National Provider Identifier
1710858030
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MAO67125 Issued in PA
Practice address
801 Ostrum St
Bethlehem, PA 18015-1000
Phone
(866) 786-8537
NPI assigned
Sep 17, 2025
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00967900 NJ
Physician Assistant 363A00000X MAO67125 PA Primary

Addresses

Primary practice location

801 Ostrum St
Bethlehem, PA 18015-1000

Mailing address

107 Clover Hollow Rd
Easton, PA 18045-8024
Phone (908) 577-6141

Other practice location 1

1872 St Lukes Blvd
Easton, PA 18045-5669
Phone (866) 785-8537

Other practice location 2

700 Lawn Ave
Sellersville, PA 18960-1548
Phone (866) 785-8537

Other practice location 3

100 St Lukes Ln
Stroudsburg, PA 18360-6217
Phone (866) 785-8537

Other practice location 4

3000 St Lukes Dr
Quakertown, PA 18951-1696
Phone (866) 785-8537

Other practice location 5

421 Chew St
Allentown, PA 18102-3406
Phone (866) 786-8537

Other practice location 6

1736 Hamilton St
Allentown, PA 18104-5656
Phone (866) 785-8537

Other practice location 7

250 S 21st St
Easton, PA 18042-3851
Phone (866) 785-8537

Other practice location 8

185 Roseberry St
Phillipsburg, NJ 08865-1690
Phone (866) 785-8537

Other practice location 9

211 N 12th St
Lehighton, PA 18235-1138
Phone (866) 785-8537

Other practice location 10

360 W Ruddle St
Coaldale, PA 18218-1027
Phone (866) 785-8537

Other practice location 11

500 St Lukes Dr
Lehighton, PA 18235-5000
Phone (866) 785-8537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251122000847 PA Practitioner - Physician Assistant 0941792493 Reassigns benefits to 2 organizations
I20260123001265 NJ Practitioner - Physician Assistant 0941792493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

100 St Lukes LN
Stroudsburg, PA 18360-6217
Phone (484) 526-2200

100 St Lukes Way
Stroudsburg, PA 18360-6217
Phone (272) 212-1000

185 Roseberry St
Phillipsburg, NJ 08865-1690
Phone (908) 847-3212

1872 St Lukes Blvd
Easton, PA 18045-5669
Phone (484) 526-7800

250 S 21St St
Easton, PA 18042-3851

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MP00967900NJMDPhysician Assistant
MAO67125PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. CurrentSince Nov 3, 2025 Accepting new patients
Gslpg, Inc CurrentSince Nov 3, 2025 Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Nov 3, 2025 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Nov 3, 2025 Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Nov 3, 2025 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients
Gslpg Inc Past Accepting new patients

Locations

185 Roseberry St
Phillipsburg, NJ 08865
Phone (908) 213-6611

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300

421 Chew St
Allentown, PA 18102
Phone (610) 776-4500

1872 St Lukes Blvd
Easton, PA 18045
Phone (484) 503-1200

250 S 21st St
Easton, PA 18042
Phone (610) 250-4300

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

211 N 12th St
Lehighton, PA 18235
Phone (610) 377-1300

500 St Lukes Dr
Lehighton, PA 18235
Phone (484) 464-9000

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

3000 St Lukes Dr
Quakertown, PA 18951
Phone (215) 538-4500

700 Lawn Ave
Sellersville, PA 18960
Phone (215) 453-4000

100 St Lukes Ln
Stroudsburg, PA 18360
Phone (272) 212-1000

Organizations & group practices 9

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 9

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": "1758067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1710858030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CLOVER HOLLOW RD",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180458024",
            "telephone_number": "908-577-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "866-786-8537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1872 St Lukes Blvd",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180455669",
            "country_code": "US",
            "telephone_number": "866-785-8537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Lawn Ave",
            "address_purpose": "LOCATION",
            "city": "Sellersville",
            "state": "PA",
            "postal_code": "189601548",
            "country_code": "US",
            "telephone_number": "866-785-8537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 St Lukes Ln",
            "address_purpose": "LOCATION",
            "city": "Stroudsburg",
            "state": "PA",
            "postal_code": "183606217",
            "country_code": "US",
            "telephone_number": "866-785-8537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 St Lukes Dr",
            "address_purpose": "LOCATION",
            "city": "Quakertown",
            "state": "PA",
            "postal_code": "189511696",
            "country_code": "US",
            "telephone_number": "866-785-8537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 Chew St",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181023406",
            "country_code": "US",
            "telephone_number": "866-786-8537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1736 Hamilton St",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181045656",
            "country_code": "US",
            "telephone_number": "866-785-8537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 S 21st St",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180423851",
            "country_code": "US",
            "telephone_number": "866-785-8537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "185 Roseberry St",
            "address_purpose": "LOCATION",
            "city": "Phillipsburg",
            "state": "NJ",
            "postal_code": "088651690",
            "country_code": "US",
            "telephone_number": "866-785-8537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 N 12th St",
            "address_purpose": "LOCATION",
            "city": "Lehighton",
            "state": "PA",
            "postal_code": "182351138",
            "country_code": "US",
            "telephone_number": "866-785-8537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 W Ruddle St",
            "address_purpose": "LOCATION",
            "city": "Coaldale",
            "state": "PA",
            "postal_code": "182181027",
            "country_code": "US",
            "telephone_number": "866-785-8537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 St Lukes Dr",
            "address_purpose": "LOCATION",
            "city": "Lehighton",
            "state": "PA",
            "postal_code": "182355000",
            "country_code": "US",
            "telephone_number": "866-785-8537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATES",
        "first_name": "MIKAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00967900",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MAO67125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.