ELLYSSA SUSAN DEGROOT PA-C
NPI 1285143677
Physician Assistant in Allentown, PA

Active since September 28, 2017PECOS EnrolledAccepts Medicare Assignment
1240 S CEDAR CREST BLVD STE 403, ALLENTOWN, PA 18103(610) 402-3650 Get Directions Write a Review

NPPES record last updated: September 28, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ellyssa Susan Degroot Pa-c NPPES

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

ELLYSSA SUSAN DEGROOT PA-C (NPI 1285143677) is an individual physician assistant in Allentown, Pennsylvania, licensed in Pennsylvania (MA059299) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1285143677
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELLYSSA SUSAN DEGROOTCredential: PA-C
Location Address1240 S CEDAR CREST BLVD STE 403Allentown, PA 18103-6218
Mailing Address1240 S Cedar Crest Blvd Ste 403Allentown, PA 18103-6218 · (610) 402-3650
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 28, 2017
NPI 1285143677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in PA · MA059299
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1240 S CEDAR CREST BLVD STE 403, Allentown, PA 18103

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ellyssa Susan Degroot Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739446154
PECOS Enrollment IDI20190923003262
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Medical Center Of Princeton At Plainsboro

Acute Care Hospitals · Plainsboro, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310010
LocationOne-Five Plainsboro RoadPlainsboro, NJ 08536 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Ellyssa Degroot's NPI number?

The NPI number for Ellyssa Degroot is 1285143677. It was assigned to this individual provider in the NPPES registry on September 28, 2017.

Where is Ellyssa Degroot located?

Ellyssa Degroot practices at 1240 S Cedar Crest Blvd Ste 403, Allentown, PA 18103. The listed phone number is (610) 402-3650.

What is Ellyssa Degroot's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ellyssa Degroot enrolled in Medicare?

Yes. Ellyssa Degroot is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Ellyssa Degroot affiliated with any hospitals?

According to CMS data, Ellyssa Degroot is affiliated with University Medical Center Of Princeton At Plainsboro.

When was this NPI record last updated?

The NPPES record for Ellyssa Degroot was last updated on September 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.