Active NPI
Lily Grace Leymeister, PA-C
- Medical Physician Assistant
- Philadelphia, PA
National Provider Identifier
1952027567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA064110
- Practice address
- 251 E Bringhurst St
Philadelphia, PA 19144-1799 - Phone
- (215) 844-1020
- NPI assigned
- Oct 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA064110 | PA | Primary |
Addresses
Primary practice location
251 E Bringhurst St
Philadelphia, PA 19144-1799
Mailing address
37 Hickory LN
Auburn, PA 17922-9094
Phone (570) 640-2578
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA064110 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant House Inc | Current | Accepting new patients | |
| Einstein Practice Plan Inc | Past | Accepting new patients | |
| Uhs Recovery Foundation Inc | Past | Accepting new patients |
Locations
251 E Bringhurst St
Philadelphia, PA 19144
Phone (215) 248-7560
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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 and National Provider Directory roles.
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- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1659462679
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-
dba Northern Vascular Lab
- Surgery Physician
- Philadelphia, PA
- NPI 1992761621
-
dba Keystone Center
- Community/Behavioral Health Agency
- Chester, PA
- NPI 1841263407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1952027567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 HICKORY LN",
"city": "AUBURN",
"state": "PA",
"postal_code": "179229094",
"telephone_number": "570-640-2578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 E BRINGHURST ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191441799",
"telephone_number": "215-844-1020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEYMEISTER",
"first_name": "LILY",
"middle_name": "GRACE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-14",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA064110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.