MS. KRISTEN L MACE-WEASE PA-C
NPI 1043470115
Physician Assistant - Medical in Lebanon, PA

Active since June 12, 2008PECOS Enrolled
1700 S LINCOLN AVE, LEBANON, PA 17042(717) 272-6621(717) 228-6045 Get Directions Write a Review

NPPES record last updated: February 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kristen L Mace-wease Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KRISTEN L MACE-WEASE PA-C (NPI 1043470115) is an individual medical provider in Lebanon, Pennsylvania, licensed in Pennsylvania (MA053430) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043470115
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. KRISTEN L MACE-WEASECredential: PA-C
Location Address1700 S LINCOLN AVELebanon, PA 17042-7529
Mailing Address1700 S Lincoln AveLebanon, PA 17042-7529 · (717) 272-6621 · Fax (717) 228-6045
Fax(717) 228-6045
Sole ProprietorNo
Enumeration DateJune 12, 2008
Last NPPES UpdateFebruary 19, 2020
NPI 1043470115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in PA · MA053430
1700 S LINCOLN AVE, Lebanon, PA 17042

Other Names 1

Former Name (1)Ms. Kristen L Mace Pa-c

Other Identifiers 1

OtherMA053430PA · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Kristen L Mace-wease Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1700 S LINCOLN AVE
LEBANON, PA 17042
Audiologist
1700 S LINCOLN AVE
LEBANON, PA 17042
Physician Assistant
1700 S LINCOLN AVE, LEBANON VAMC
LEBANON, PA 17042
Psychologist (Clinical)
1700 S LINCOLN AVE
LEBANON, PA 17042
Social Worker (Clinical)
1700 S LINCOLN AVE
LEBANON, PA 17042
Internal Medicine (Cardiovascular Disease)
1700 S LINCOLN AVE
LEBANON, PA 17042
Social Worker
1700 S LINCOLN AVE
LEBANON, PA 17042
Social Worker
1700 S LINCOLN AVE
LEBANON, PA 17042

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristen Mace-wease's NPI number?

The NPI number for Kristen Mace-wease is 1043470115. It was assigned to this individual provider in the NPPES registry on June 12, 2008. The provider is also known as Ms. Kristen L Mace Pa-C.

Where is Kristen Mace-wease located?

Kristen Mace-wease practices at 1700 S Lincoln Ave, Lebanon, PA 17042. The listed phone number is (717) 272-6621.

What is Kristen Mace-wease's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kristen Mace-wease enrolled in Medicare?

Yes. Kristen Mace-wease is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristen Mace-wease was last updated on February 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.