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COLLEEN MARGARET LIZEWSKI PA-C
NPI 1760804512
Physician Assistant - Medical in Frackville, PA

Active since January 14, 2014PECOS EnrolledAccepts Medicare Assignment
40 W FRACK ST, FRACKVILLE, PA 17931(570) 794-6123(570) 794-6124 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Colleen Margaret Lizewski Pa-c NPPES

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

COLLEEN MARGARET LIZEWSKI PA-C (NPI 1760804512) is an individual medical provider in Frackville, Pennsylvania, licensed in Pennsylvania (MA055811) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS, is affiliated with The Outer Banks Hospital, Inc, and maintains a secondary practice location in Raleigh.

NPPES Registry Identity

NPI1760804512
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCOLLEEN MARGARET LIZEWSKICredential: PA-C
Location Address40 W FRACK STFrackville, PA 17931-1719
Mailing Address40 W Frack StFrackville, PA 17931-1719 · (570) 794-6123 · Fax (570) 794-6124
Phone(570) 794-6123
Fax(570) 794-6124
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 14, 2014
Last NPPES UpdateOctober 14, 2024
NPPES CertifiedOctober 14, 2024
✔ NPI 1760804512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in PA · MA055811✔ Licensed in NC · 0010-14034
Also ListedPhysician AssistantTaxonomy 363A00000X · License OA004346 (PA)
40 W FRACK ST, Frackville, PA 17931
Open in Google Maps ↗

Secondary Practice Location 1

Location 15540 Centerview Dr Ste 204 #66182Raleigh, NC 27606-8012 · Phone (252) 455-9699

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

Colleen Margaret Lizewski 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 ID7911217278
PECOS Enrollment IDI20151117001651
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.

The Outer Banks Hospital, Inc

Critical Access Hospitals · Nags Head, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341324
Location4800 South Croatan HighwayNags Head, NC 27959 · Dare County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 4

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

GRACE ANN TRUTT CRNP
Nurse Practitioner (Psychiatric/Mental Health)
40 W FRACK ST
FRACKVILLE, PA 17931
Schuylkill County (570) 794-6123
JAMES C GREENFIELD DO
Family Medicine
40 W FRACK ST
FRACKVILLE, PA 17931
Schuylkill County (570) 794-6123
CORNERSTONE COORDINATED HEALTH CARE, LLC
Clinic/Center (Rural Health)
40 W FRACK ST
FRACKVILLE, PA 17931
Schuylkill County (610) 393-0787
IVAN JOSE DE JESUS RIJO
Nurse Practitioner (Family)
40 W FRACK ST
FRACKVILLE, PA 17931
Schuylkill County (570) 794-6123

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 Colleen Lizewski's NPI number?

The NPI number for Colleen Lizewski is 1760804512. It was assigned to this individual provider in the NPPES registry on January 14, 2014.

Where is Colleen Lizewski located?

Colleen Lizewski practices at 40 W Frack St, Frackville, PA 17931. The listed phone number is (570) 794-6123.

What is Colleen Lizewski's specialty?

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

Is Colleen Lizewski enrolled in Medicare?

Yes. Colleen Lizewski 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 Colleen Lizewski affiliated with any hospitals?

According to CMS data, Colleen Lizewski is affiliated with The Outer Banks Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Colleen Lizewski was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.