Individual provider Active NPI

Christie M Storck, PA-C

  • Physician Assistant
  • Lancaster, PA
National Provider Identifier
1942922760
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA063941 Issued in PA
Practice address
175 S Centerville Rd
Lancaster, PA 17603-9733
Phone
(717) 299-4644
Fax
(717) 390-2916
NPI assigned
Sep 19, 2022
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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 MA063941 PA Primary

Addresses

Primary practice location

175 S Centerville Rd
Lancaster, PA 17603-9733

Mailing address

175 S Centerville Rd
Lancaster, PA 17603-9733
Phone (717) 299-4644

Other practice location 1

2113 Manor Ridge Dr
Lancaster, PA 17603-4215
Phone (717) 299-4644

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
I20221101001900 PA Practitioner - Physician Assistant 5193192326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

175 S Centerville Rd
Lancaster, PA 17603-9733
Phone (717) 299-1301

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

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Nov 28, 2022 Accepting new patients
Lancaster General Medical Group CurrentSince Nov 28, 2022 Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

5665 Main St
East Petersburg, PA 17520
Phone (717) 569-7011

175 S Centerville Rd
Lancaster, PA 17603
Phone (717) 299-4644

2113 Manor Ridge Dr
Lancaster, PA 17603
Phone (717) 299-4644

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1942922760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 S CENTERVILLE RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176039733",
            "telephone_number": "717-299-4644",
            "fax_number": "717-390-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S CENTERVILLE RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176039733",
            "telephone_number": "717-299-4644",
            "fax_number": "717-390-2916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2113 Manor Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176034215",
            "country_code": "US",
            "telephone_number": "717-299-4644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STORCK",
        "first_name": "CHRISTIE",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA063941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.