Colleen Margaret Lizewski, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA055811 Issued in PA

Practice address

40 W Frack St
Frackville, PA 17931-1719

Phone

(570) 794-6123

Fax

(570) 794-6124

NPI assigned

Jan 14, 2014

Last updated

Oct 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cornerstone Coordinated Health Care, LLCGroup PAC ID 2567624232, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Outer Banks Hospital, Inc Hospital, Nags Head, NC, CCN 341324

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Cornerstone Coordinated Health Care, LLC

  • Rural Health Clinic/Center
  • Frackville, PA
  • NPI 1811269186
  Medicare reassignment Care Compare group
• Emergency Care Services of Pennsylvania, P.C.

  • Emergency Medicine Physician
  • Langhorne, PA
  • NPI 1114955010
  Medicare reassignment
• Atlantic Physician Services of Maryland, P.C.

  • Physician Assistant
  • Wilmington, DE
  • NPI 1730129594

  PA

  Medicare reassignment
• Cornerstone Coordinated Health Care, LLC

  • Rural Health Clinic/Center
  • Ashland, PA
  • NPI 1174176796
  NPD
• Emergency Care Services of Pennsylvania, P.C.

  • Emergency Medicine Physician
  • Wilkes Barre, PA
  • NPI 1235374927

  Physician Assistant

  NPD
• Atlantic Physician Services of Maryland, PC

  • Physician Assistant
  • Baltimore, MD
  • NPI 1174632376
  NPD
• Humboldt Emergency Physicians LLC

  • Emergency Medicine Physician
  • Pottsville, PA
  • NPI 1568810406

  Physician Assistant

  NPD (past)

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

• The Outer Banks Hospital Inc

  • Critical Access Hospital
  • Nags Head, NC
  • NPI 1053375253
  Care Compare affiliation

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1760804512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W FRACK ST",
            "city": "FRACKVILLE",
            "state": "PA",
            "postal_code": "179311719",
            "telephone_number": "570-794-6123",
            "fax_number": "570-794-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W FRACK ST",
            "city": "FRACKVILLE",
            "state": "PA",
            "postal_code": "179311719",
            "telephone_number": "570-794-6123",
            "fax_number": "570-794-6124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5540 Centerview Dr Ste 204 #66182",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276068012",
            "country_code": "US",
            "telephone_number": "252-455-9699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIZEWSKI",
        "first_name": "COLLEEN",
        "middle_name": "MARGARET",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA004346",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-14034",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA055811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Larez
• Laura Lynn Lawson, MS CCC SLP
• Lehigh Valley Physician Group (LVPG Family Medicine - Frackville)
• Melanie Lehocky
• Ivor F. Lewis, M.D.
• Krystal Londono, CRNP
• Lynne Ann Luckenbill, COTAL
• Jessica E Matern, COTA
• Lacey Mazeika, PA-C
• Jessica M McGrath, P.A.-C

• Medical Physician Assistant in Frackville, PA
• Providers in Frackville, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.