NPIMap

Individual provider Active NPI

Valerie Frandsen Goates, PA-C

  • Physician Assistant
  • Mount Holly Springs, PA
National Provider Identifier
1760900245
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA004217 Issued in PA
Practice address
103 N Baltimore Ave
Mount Holly Springs, PA 17065-1202
Phone
(717) 960-0052
NPI assigned
Sep 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 OA004217 PA Primary

Addresses

Primary practice location

103 N Baltimore Ave
Mount Holly Springs, PA 17065-1202

Mailing address

103 N Baltimore Ave
Mount Holly Springs, PA 17065-1202
Phone (717) 960-0052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180214001217 PA Practitioner - Physician Assistant 8426318379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Baxter Drew Wellmon II D.O.,P.C.Group PAC ID 5698836583, 4 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

93 Progress Blvd
Shippensburg, PA 17257-9595
Phone (717) 532-3211

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OA004217PAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: vgoates@wellmonfamilypractice.medentdirect.com

Organizations & group practices 1

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1760900245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N BALTIMORE AVE",
            "city": "MOUNT HOLLY SPRINGS",
            "state": "PA",
            "postal_code": "170651202",
            "telephone_number": "717-960-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N BALTIMORE AVE",
            "city": "MOUNT HOLLY SPRINGS",
            "state": "PA",
            "postal_code": "170651202",
            "telephone_number": "717-960-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOATES",
        "first_name": "VALERIE",
        "middle_name": "FRANDSEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA004217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Holly Springs, PA

Sources for this page

Verify at the official NPI Registry.