NPIMap

Individual provider Active NPI

Brandan Temple Lykens, P.A.

  • Physician Assistant
  • Lancaster, PA
National Provider Identifier
1871661769
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA052428 Issued in PA
Practice address
1671 Crooked Oak Drive
Lancaster, PA 17601
Phone
(717) 569-5331
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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 MA052428 PA Primary

Addresses

Primary practice location

1671 Crooked Oak Drive
Lancaster, PA 17601

Mailing address

1671 Crooked Oak Drive
Lancaster, PA 17601
Phone (717) 569-5331

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 7

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

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General Medical Group 590 clinicians

Practice addresses (Care Compare)

1671 Crooked Oak Dr
Lancaster, PA 17601-4269
Phone (717) 569-5331

3045 Marietta Ave
Lancaster, PA 17601-1321
Phone (717) 299-4644

554 N Duke St
LGHP Penn Med Plastic and Cosmetic Surgery
Lancaster, PA 17602-2250
Phone (717) 291-5863

555 N Duke St
Lancaster, PA 17602-2250

555 N Duke St 1St Floor
LGHP Penn Medicine Behavioral Health
Lancaster, PA 17602-2250
Phone (717) 560-3782

Hospital & facility affiliations

  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100
  • Wellspan Ephrata Community Hospital Hospital, Ephrata, PA, CCN 390225

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
I20060412000490 PA Practitioner - Physician Assistant 9739198110 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Hospital CurrentSince Jan 1, 2009 Accepting new patients
Lancaster General Medical Group CurrentSince Feb 9, 2019 Accepting new patients
Lancaster General Hospital CurrentSince Jan 1, 2009 Accepting new patients
Lancaster General Hospital CurrentSince Jul 8, 2013 Accepting new patients
Lancaster General Medical Group CurrentSince Feb 9, 2019 Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

426 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 299-1301

101 Larkspur Ln
Ephrata, PA 17522
Phone (717) 738-0660

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

554 N Duke St
Lancaster, PA 17602
Phone (717) 291-5863

2102 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 544-3600

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

1671 Crooked Oak Dr
Lancaster, PA 17601
Phone (717) 569-5331

1701 Cornwall Rd
Lebanon, PA 17042
Phone (717) 675-1750

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1871661769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 CROOKED OAK DRIVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17601",
            "telephone_number": "717-569-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 CROOKED OAK DRIVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17601",
            "telephone_number": "717-569-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYKENS",
        "first_name": "BRANDAN",
        "middle_name": "TEMPLE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA052428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.