KRISTEN LEIGH DOUGLASS PA-C
NPI 1982004040
Physician Assistant in Lewisburg, PA

Active since August 26, 2014PECOS EnrolledAccepts Medicare Assignment
120 HAMM DR, LEWISBURG, PA 17837(570) 522-9430 Get Directions Write a Review

NPPES record last updated: December 21, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 21, 2020, Jul 26, 2019, Jan 27, 2016 (3 updates tracked since 2016).

About Kristen Leigh Douglass Pa-c NPPES

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

KRISTEN LEIGH DOUGLASS PA-C (NPI 1982004040) is an individual physician assistant in Lewisburg, Pennsylvania, licensed in Pennsylvania (MA057102) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Williamsport, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1982004040
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKRISTEN LEIGH DOUGLASSCredential: PA-C
Location Address120 HAMM DRLewisburg, PA 17837-7496
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 26, 2014
Last NPPES UpdateDecember 21, 20203 updates tracked since enumeration
NPPES CertifiedDecember 21, 2020
NPI 1982004040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in PA · MA057102 Licensed in PA · OA003416
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.

120 HAMM DR, Lewisburg, PA 17837

Secondary Practice Location 1

Location 11205 River Ave Fl 1Williamsport, PA 17701-3724 · Phone (570) 323-5991 · Fax (570) 323-6578

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

Kristen Leigh Douglass 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 ID1850511908
PECOS Enrollment IDI20141013001406
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17837 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.

Other Providers at the Same Location NPPES 10

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

Radiology (Diagnostic Radiology)
120 HAMM DR
LEWISBURG, PA 17837
Speech-Language Pathologist
120 HAMM DR, SUITE 2A
LEWISBURG, PA 17837
Genetic Counselor, MS
120 HAMM DR
LEWISBURG, PA 17837
Psychologist
120 HAMM DR
LEWISBURG, PA 17837
Genetic Counselor, MS
120 HAMM DR
LEWISBURG, PA 17837
Psychologist
120 HAMM DR
LEWISBURG, PA 17837
Counselor (Professional)
120 HAMM DR
LEWISBURG, PA 17837
Genetic Counselor, MS
120 HAMM DR
LEWISBURG, PA 17837

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982004040, enumerated as an "individual" on August 26, 2014.

The provider is located at 120 HAMM DR LEWISBURG, PA 17837 and the phone number is (570) 522-9430.

Physician Assistant with taxonomy code 363A00000X.