Individual provider Active NPI

Candice Marie Bobolsky, PA

  • Physician Assistant
  • Lewistown, PA
National Provider Identifier
1952943334
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA061203 Issued in PA
Practice address
310 Electric Ave
Lewistown, PA 17044-1369
Phone
(717) 242-2531
Fax
(717) 242-1028
NPI assigned
Oct 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 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 MA061203 PA Primary

Addresses

Primary practice location

310 Electric Ave
Lewistown, PA 17044-1369

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (717) 242-2531

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address candicebobolsky@jg.allscriptsdirect.net

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
I20191211003021 PA Practitioner - Physician Assistant 3375976905 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Jackson Siegelbaum Gastroenterology LTDGroup PAC ID 5799769139, 10 clinicians

Practice addresses (Care Compare)

310 Electric Ave
240 Geisinger Orthopaedic Institute L
Lewistown, PA 17044-1369
Phone (717) 242-8124

423 N 21St St
Suite 100
Camp Hill, PA 17011-2207
Phone (717) 761-0930

4387 Sturbridge Dr
Harrisburg, PA 17110-3673
Phone (717) 238-3111

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Feb 1, 2026 Accepting new patients
Geisinger Clinic CurrentSince Feb 1, 2026 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

310 Electric Ave
Ste 240
Lewistown, PA 17044
Phone (717) 242-8124

Organizations & group practices 6

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.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1952943334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "717-242-2531",
            "fax_number": "717-242-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 ELECTRIC AVE",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170441369",
            "telephone_number": "717-242-2531",
            "fax_number": "717-242-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBOLSKY",
        "first_name": "CANDICE",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "candicebobolsky@jg.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "423 N 21st St Ste 100",
            "city": "Camp Hill",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170112207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lewistown, PA

Sources for this page

Verify at the official NPI Registry.