NPIMap

Individual provider Active NPI

Scott A Berlin, PA-C

  • Physician Assistant
  • Mechanicsburg, PA
National Provider Identifier
1871603316
Registry record updated Apr 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA001380L Issued in PA
Practice address
6375 Mercury Dr
Suite 200
Mechanicsburg, PA 17050-5282
Phone
(717) 620-2500
Fax
(717) 620-2511
NPI assigned
Aug 30, 2006
Last updated
Apr 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2010

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 MA001380L PA Primary

Addresses

Primary practice location

6375 Mercury Dr
Suite 200
Mechanicsburg, PA 17050-5282

Mailing address

6375 Mercury Dr
Suite 200
Mechanicsburg, PA 17050-5282
Phone (717) 620-2500

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
I20090122000348 PA Practitioner - Physician Assistant 1658435433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Shore Family Practice PCGroup PAC ID 7618957713, 4 clinicians

Practice addresses (Care Compare)

6375 Mercury Dr
Suite 200
Mechanicsburg, PA 17050-5282
Phone (717) 620-2500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.95 of 100Reported as group
Quality
100
Improvement activities
40
Cost
73.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA001380LPAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Myers Ambucare Surgery, LTD. PastSince Jul 1, 2008 Accepting new patients
Lancaster Hma Physician Management, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sberlinpac@wsfp.medentdirect.com

Organizations & group practices 3

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 10

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271894400000",
    "number": "1871603316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6375 MERCURY DR",
            "address_2": "SUITE 200",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170505282",
            "telephone_number": "717-620-2500",
            "fax_number": "717-620-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6375 MERCURY DR",
            "address_2": "SUITE 200",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170505282",
            "telephone_number": "717-620-2500",
            "fax_number": "717-620-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLIN",
        "first_name": "SCOTT",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA001380L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.