Dawn Michelle Lenker, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA002904L Issued in PA

Practice address

255 W Spruce St
Shamokin, PA 17872-5811

Phone

(570) 644-5050

NPI assigned

Jul 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992720395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W SPRUCE ST",
            "city": "SHAMOKIN",
            "state": "PA",
            "postal_code": "178725811",
            "telephone_number": "570-644-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W SPRUCE ST",
            "city": "SHAMOKIN",
            "state": "PA",
            "postal_code": "178725811",
            "telephone_number": "570-644-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENKER",
        "first_name": "DAWN",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA002904L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/LUN",
            "identifier": "104839",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KHP/B",
            "identifier": "01025201",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015644200005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SR/BL",
            "identifier": "045219",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sudhir Kumar Khanna, M.D.
• Marisa Elizabeth Knorr, PHARMD
• Joseph Francis Kort, MD
• Julie Kreider
• L&S Home Care Agency LLC
• Stephen A Madden, DDS
• Philip L. Manney, BA, BS, D.C.
• Nadine Markovich-Sten, PA-C
• Alice Matukaitis, CRNP
• Melissa Ann Menapace, RPH

• Medical Physician Assistant in Shamokin, PA
• Providers in Shamokin, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.