Individual provider Active NPI

Elizabeth Nichole Buchanan, PA-C

  • Medical Physician Assistant
  • Hilton Head Island, SC
National Provider Identifier
1942970140
Registry record updated Nov 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
6296 Issued in SC
Practice address
25 Hospital Center Blvd
Hilton Head Island, SC 29926-2734
Phone
(843) 681-6122
NPI assigned
Sep 17, 2021
Last updated
Nov 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 6296 SC Primary
Medical Physician Assistant 363AM0700X PA
Medical Physician Assistant 363AM0700X MA063001 PA

Addresses

Primary practice location

25 Hospital Center Blvd
Hilton Head Island, SC 29926-2734

Mailing address

1601 Cummins Dr Ste D
Modesto, CA 95358-6411
Phone (814) 203-8456

Other practice location 1

575 N River St
Wilkes Barre, PA 18702-2634
Phone (570) 829-8111

Other practice location 2

746 Jefferson Ave
Scranton, PA 18510-1624
Phone (570) 770-3000

Other practice location 3

700 Quincy Ave
Scranton, PA 18510-1724
Phone (570) 770-5000

Other practice location 4

1550 Main St Ste 1B
Dickson Cty, PA 18447-1345
Phone (570) 218-8055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, SC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20211005000634 PA Practitioner - Physician Assistant 1557769601 Reassigns benefits to 4 organizations
I20260618001050 SC Practitioner - Physician Assistant 1557769601 Reassigns benefits to 1 organization

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
Lake Scranton Urgent Care LLCGroup PAC ID 0648554220, 6 clinicians
Valley Integrated Urgent Care and Wellness Center IncGroup PAC ID 4082056833, 3 clinicians

Practice addresses (Care Compare)

1141 Moosic St
Suite 3
Scranton, PA 18505-2105
Phone (570) 800-5926

1550 Main St
Suite 1
Dickson Cty, PA 18447-1345
Phone (570) 550-0870

Merit-based Incentive Payment System (MIPS)

Final score
83.3 of 100Reported as group
Quality
74.59
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6296SCMDSpeech-Language Pathologist
MA063001PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Physician Services, LLC CurrentSince Sep 22, 2021 Accepting new patients

Locations

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

575 N River St
Wilkes Barre Township, PA 18702
Phone (570) 283-3222

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

NPI Registry JSON

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793577600000",
    "number": "1942970140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CUMMINS DR STE D",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953586411",
            "telephone_number": "814-203-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HOSPITAL CENTER BLVD",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262734",
            "telephone_number": "843-681-6122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 N River St",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "187022634",
            "country_code": "US",
            "telephone_number": "570-829-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "746 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "185101624",
            "country_code": "US",
            "telephone_number": "570-770-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Quincy Ave",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "185101724",
            "country_code": "US",
            "telephone_number": "570-770-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1550 Main St Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Dickson Cty",
            "state": "PA",
            "postal_code": "184471345",
            "country_code": "US",
            "telephone_number": "570-218-8055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "ELIZABETH",
        "middle_name": "NICHOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-17",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "6296",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA063001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

Verify at the official NPI Registry.