Individual provider Active NPI

Matthew Mills, PA-C

  • Physician Assistant
  • Pottsville, PA
National Provider Identifier
1972494532
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA066801 Issued in PA
Practice address
2650 Woodglen Rd
Pottsville, PA 17901-1324
Phone
(272) 639-5780
NPI assigned
Jul 11, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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 MA066801 PA Primary

Addresses

Primary practice location

2650 Woodglen Rd
Pottsville, PA 17901-1324

Mailing address

9 Hickory LN
Auburn, PA 17922-9094
Phone (570) 449-1986

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
I20251204002137 PA Practitioner - Physician Assistant 6204329568 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Luke'S Hospital 100 clinicians
The Carbon-Schuylkill Community Hospital, Inc. 41 clinicians
GSL Hospital 23 clinicians

Practice addresses (Care Compare)

1104 N St
St Luke'S Care Now
Jim Thorpe, PA 18229-1717
Phone (570) 325-2400

120 Pine St
Tamaqua, PA 18252-1409
Phone (570) 645-1500

2650 Woodglen Rd
Geisinger St Luke'S Care Now Pottsville
Pottsville, PA 17901-1335
Phone (272) 639-5780

360 W Riddle St
Coaldale, PA 18218-1027
Phone (570) 645-8127

9 Dave'S Way
Hamburg, PA 19526-1463
Phone (610) 628-7201

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA066801PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Carbon-Schuylkill Community Hospital, Inc. CurrentSince Sep 29, 2025 Accepting new patients
St Luke'S Hospital CurrentSince Sep 29, 2025 Accepting new patients
St. Luke'S Hospital Monroe Campus CurrentSince Sep 29, 2025 Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. CurrentSince Sep 29, 2025 Accepting new patients
St. Luke'S Quakertown Hospital CurrentSince Sep 29, 2025 Accepting new patients
St. Luke'S Hospital Monroe Campus Current Accepting new patients
St. Luke'S Hospital Monroe Campus CurrentSince Sep 29, 2025 Accepting new patients
St. Luke'S Quakertown Hospital CurrentSince Sep 29, 2025 Accepting new patients
St. Luke'S Hospital Current Accepting new patients
St Luke'S Hospital CurrentSince Sep 29, 2025 Accepting new patients
GSL Hospital CurrentSince Sep 29, 2025 Accepting new patients

Locations

111 Route 715
Brodheadsvlle, PA 18322
Phone (272) 212-0420

1104 North St
Jim Thorpe, PA 18229
Phone (570) 325-2400

2650 Woodglen Rd
Pottsville, PA 17901
Phone (272) 639-5755

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1972494532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HICKORY LN",
            "city": "AUBURN",
            "state": "PA",
            "postal_code": "179229094",
            "telephone_number": "570-449-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 WOODGLEN RD",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179011324",
            "telephone_number": "272-639-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "MATTHEW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA066801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

Verify at the official NPI Registry.