Individual provider Active NPI

Amelia Ann Poplawski, PA-C

  • Physician Assistant
  • Ithaca, NY
National Provider Identifier
1831676444
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
025026 Issued in NY
Practice address
1020 Craft Rd Ste a
Ithaca, NY 14850-1016
Phone
(607) 339-0670
NPI assigned
Jul 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA060032 PA
Physician Assistant 363A00000X 0110010580 VA
Physician Assistant 363A00000X 025026 NY Primary

Addresses

Primary practice location

1020 Craft Rd Ste a
Ithaca, NY 14850-1016

Mailing address

PO Box 858
MC A410
Hershey, PA 17033-0858
Phone (800) 243-1455

Other practice location 1

3025 Market St Ste B
Camp Hill, PA 17011-4518
Phone (717) 691-1212

Other practice location 2

3470 Mayland Ct
Richmond, VA 23233-1468
Phone (804) 527-4540

Other practice location 3

9000 Stony Point Pkwy
Richmond, VA 23235-1900
Phone (804) 828-9000

Other practice location 4

1001 E Leigh St
Richmond, VA 23298-5004
Phone (804) 628-4368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20181126002949 PA Practitioner - Physician Assistant 6305190646 Reassigns benefits to 1 organization
I20200730001352 NY Practitioner - Physician Assistant 6305190646 Reassigns benefits to 1 organization
I20250416000840 VA Practitioner - Physician Assistant 6305190646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Pennsylvania State University College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

Practice addresses (Care Compare)

3470 Mayland CT
Richmond, VA 23233-1468
Phone (804) 527-4538

401 N 11TH St
Richmond, VA 23219-1901
Phone (804) 828-9000

401 N 11TH St
Richmond, VA 23219-1914
Phone (804) 828-8737

9105 Stony Point Dr
Richmond, VA 23235-1979
Phone (804) 323-2255

9109 Stony Point Dr
Richmond, VA 23235-1979
Phone (804) 828-7929

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
82.87
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
82.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025026NYMDPhysician Assistant
MA060032PAMDPhysician Assistant
0110010580VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physician Group CurrentSince Mar 4, 2019 Accepting new patients
The Milton S Hershey Medical Center Physicians Group CurrentSince Mar 4, 2019 Accepting new patients

Locations

3025 Market St
Ste B
Camp Hill, PA 17011
Phone (717) 691-1212

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

Organizations & group practices 5

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": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1831676444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 858",
            "address_2": "MC A410",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170330858",
            "telephone_number": "800-243-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 CRAFT RD STE A",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501016",
            "telephone_number": "607-339-0670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3025 Market St Ste B",
            "address_purpose": "LOCATION",
            "city": "Camp Hill",
            "state": "PA",
            "postal_code": "170114518",
            "country_code": "US",
            "telephone_number": "717-691-1212",
            "fax_number": "717-691-5354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3470 Mayland Ct",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232331468",
            "country_code": "US",
            "telephone_number": "804-527-4540",
            "fax_number": "804-527-4487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9000 Stony Point Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232351900",
            "country_code": "US",
            "telephone_number": "804-828-9000",
            "fax_number": "804-560-8992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 E Leigh St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985004",
            "country_code": "US",
            "telephone_number": "804-628-4368",
            "fax_number": "804-807-7953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPLAWSKI",
        "first_name": "AMELIA",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA060032",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110010580",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "025026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.