NPIMap

Individual provider Active NPI

Andrew Scott Dewalt, PA-C

  • Physician Assistant
  • Lancaster, PA
National Provider Identifier
1871264598
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2106 Harrisburg Pike Ste 200
Lancaster, PA 17601-2644
Phone
(717) 393-1771
Fax
(717) 393-2782
NPI assigned
Sep 22, 2021
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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 Primary

Addresses

Primary practice location

2106 Harrisburg Pike Ste 200
Lancaster, PA 17601-2644

Mailing address

2106 Harrisburg Pike Ste 200
Lancaster, PA 17601-2644
Phone (717) 393-1771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220512000406 DC Practitioner - Physician Assistant 5496132458 Reassigns benefits to 1 organization
I20240422000162 PA Practitioner - Physician Assistant 5496132458 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2106 Harrisburg Pike
Suite 200
Lancaster, PA 17601-2644
Phone (717) 393-1771

211 S Gulph Rd
Suite 200 the Prostate Center
King of Prussia, PA 19406-3101
Phone (610) 579-3577

400 Davis Dr
Plymouth Meeting, PA 19462-1718
Phone (610) 825-2151

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster Urology PC Single Specialty CurrentSince Mar 17, 2024 Accepting new patients
Alliance Physician Services, PC CurrentSince Oct 1, 2024 Accepting new patients
Alliance Physician Services, PC CurrentSince Oct 1, 2024 Accepting new patients
Alliance Physician Services PC Single Specialty CurrentSince Mar 17, 2024 Accepting new patients
Alliance Physician Services, PC Past Accepting new patients
Alliance Physician Services, PC Single Specialty Past Accepting new patients

Locations

945 Chesterbrook Blvd
Chesterbrook, PA 19087
Phone (610) 695-8088

175 Martin Ave
Ephrata, PA 17522
Phone (717) 721-8222

175 Martin Ave
Ste 300
Ephrata, PA 17522
Phone (717) 723-4579

211 S Gulph Rd
Ste 200
Kng of Prussa, PA 19406
Phone (610) 382-5900

2106 Harrisburg Pike
Ste 200
Lancaster, PA 17601
Phone (352) 365-6877

2110 Harrisburg Pike
Ste 1
Lancaster, PA 17601
Phone (717) 397-4254

1510 Cornwall Rd
Lebanon, PA 17042
Phone (717) 273-0662

1510 Cornwall Rd
Rear
Lebanon, PA 17042

140 W Germantown Pike
Ste 250
Plymouth Meeting, PA 19462
Phone (484) 530-0205

656 E Swedesford Rd
Ste 120
Wayne, PA 19087
Phone (610) 273-5320

Interoperability endpoints

  • Direct secure messaging: paandrewdewalt@lancuro.medentdirect.com

Organizations & group practices 7

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 7

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": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1871264598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 HARRISBURG PIKE STE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-393-1771",
            "fax_number": "717-393-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 HARRISBURG PIKE STE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-393-1771",
            "fax_number": "717-393-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWALT",
        "first_name": "ANDREW",
        "middle_name": "SCOTT",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-22",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.