Individual provider Active NPI

Meghan P Castagnero, PA-C

  • Physician Assistant
  • Millersburg, PA
National Provider Identifier
1801171962
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA003790 Issued in PA
Practice address
1000 Evelyn Dr
Millersburg, PA 17061-1258
Phone
(717) 692-4761
Fax
(717) 692-2381
NPI assigned
Oct 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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 MA055139 PA
Physician Assistant 363A00000X OA003790 PA Primary

Addresses

Primary practice location

1000 Evelyn Dr
Millersburg, PA 17061-1258

Mailing address

110 S 17TH St
Harrisburg, PA 17104-1123
Phone (717) 692-4761

Other identifiers 1

IdentifierTypeStateIssuer
103381502MedicaidPA

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
I20111212000790 PA Practitioner - Physician Assistant 7113192618 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OA003790PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Dec 12, 2011 Accepting new patients
Pinnacle Health Medical Services CurrentSince Dec 12, 2011 Accepting new patients
CRHS@ Hamilton Health Center Past Accepting new patients

Locations

110 S 17th St
Harrisburg, PA 17104
Phone (717) 230-3906

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

1000 Evelyn Dr
Millersburg, PA 17061
Phone (717) 230-3700

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1801171962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S 17TH ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041123",
            "telephone_number": "717-692-4761",
            "fax_number": "717-692-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EVELYN DR",
            "city": "MILLERSBURG",
            "state": "PA",
            "postal_code": "170611258",
            "telephone_number": "717-692-4761",
            "fax_number": "717-692-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTAGNERO",
        "first_name": "MEGHAN",
        "middle_name": "P",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055139",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA003790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103381502",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersburg, PA

Sources for this page

Verify at the official NPI Registry.