NPIMap

Individual provider Active NPI

Alexandra Schuller, PA-C

  • Physician Assistant
  • Orwigsburg, PA
National Provider Identifier
1962914481
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA059580 Issued in PA
Practice address
300 Hollywood Blvd
Orwigsburg, PA 17961-6037
Phone
(570) 366-1557
NPI assigned
Oct 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X
Physician Assistant 363A00000X MA059580 PA Primary

Addresses

Primary practice location

300 Hollywood Blvd
Orwigsburg, PA 17961-6037

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other practice location 1

300 Hollywood Blvd
Orwigsburg, PA 17961-2426
Phone (570) 366-1557

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aschuller153787@direct.geisinger.edu Direct

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
I20171227000612 PA Practitioner - Physician Assistant 7113285933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144

200 Pinebrook Place
Suite 5
Orwigsburg, PA 17961-2347
Phone (570) 366-1557

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

300 Hollywood Blvd
Orwigsburg, PA 17961-2426
Phone (570) 366-1557

701 W Oak St
Fracksville, PA 17931-1672
Phone (570) 874-4100

Hospital & facility affiliations

  • Accentcare Home Health of Central Pennsylvania Home health agency, Elizabethtown, PA, CCN 398062
  • Geisinger St. Luke'S Hospital Hospital, Orwigsburg, PA, CCN 390332
  • St Luke'S Miners Memorial Hospital Hospital, Coaldale, PA, CCN 390183
  • Schuylkill Medical Center - South Jackson Street Hospital, Pottsville, PA, CCN 390030
  • Reading Hospital Hospital, West Reading, PA, CCN 390044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA059580PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Jan 1, 2018 Accepting new patients
Geisinger Clinic CurrentSince Jan 1, 2018 Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

701 W Oak St
Frackville, PA 17931
Phone (570) 874-4100

119 Nevada Dr
Kulpmont, PA 17834
Phone (570) 373-1250

31 S Main St
Mahanoy City, PA 17948
Phone (570) 773-3042

300 Hollywood Blvd
Orwigsburg, PA 17961
Phone (570) 366-1557

529 Terry Reiley Way
Pottsville, PA 17901
Phone (570) 624-4120

Interoperability endpoints

  • Direct secure messaging: aschuller153787@direct.geisinger.edu

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.

Hospital & facility affiliations 11

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": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1962914481",
    "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": "570-271-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HOLLYWOOD BLVD",
            "city": "ORWIGSBURG",
            "state": "PA",
            "postal_code": "179616037",
            "telephone_number": "570-366-1557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Hollywood Blvd",
            "address_purpose": "LOCATION",
            "city": "Orwigsburg",
            "state": "PA",
            "postal_code": "179612426",
            "country_code": "US",
            "telephone_number": "570-366-1557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULLER",
        "first_name": "ALEXANDRA",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA059580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aschuller153787@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "300 Hollywood Blvd",
            "city": "Orwigsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "179612426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orwigsburg, PA

Sources for this page

Verify at the official NPI Registry.