KELSEY DAWN PUSKAR (PA-C) – Family Medicine Physician, NPI 1104465467

KELSEY DAWN PUSKAR (PA-C) is a healthcare provider. based in New wilmington, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA061367 (PA). The NPI Number for KELSEY DAWN PUSKAR (PA-C) is 1104465467

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KELSEY DAWN PUSKAR (PA-C)
NPI
1104465467
Phone
(724) 946-3564
Address
150 N NEW CASTLE ST
Enumeration Date
3 January 2020
Last Update Date
30 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7249463516
Graduation Year
2019 (7 years ago)
PAC ID
8022445329
Group Practice PAC ID
3173555240
Professional Enrollment ID
I20200226002124
Address ID
PA161421212NE238XXSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

9,689 PHYSICIAN ASSISTANT in PA

Provider Addresses for KELSEY DAWN PUSKAR (PA-C)

  • 150 N NEW CASTLE ST

    NEW WILMINGTON, PA 161421019

    Phone: (724) 946-3564

    Fax: (724) 946-2156

    Type: Mailing

  • 150 N New Castle St

    New Wilmington, PA 161421019

    Phone: (724) 946-3564

    Fax: (724) 946-2156

    Type: Location

  • 1995 MERCER NEW WILMINGTON RD

    NEW WILMINGTON, PA 161422021

    Phone: (724) 946-3564

    Fax: (724) 946-2156

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 355 Open Payments records for all available years, with a total value of $6,836.

Total Amount is formed as General ($6,836) + Research ($0) + Ownership ($0) = $6,836.

Last reported payment date: 2024-12-14 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($805).

Total Amount

$6,836

General + Research + Ownership

Payments

355

Total payment records

General Amount

$6,836

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-02-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200226002124IPhysician AssistantPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes246135$0
99213Established patient office or other outpatient visit, 20-29 minutes167115$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7878$0
G0008Administration of influenza virus vaccine2121$0
90662Influenza vaccine split virus, preservative free1919$0
View full utilization report →

Insurance plans in this area (ZIP 16142)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173555240View full group profile
NameSpecialtyState
Physician AssistantPA
-PA
Family PracticePA
Family PracticePA
Physician AssistantPA
Internal Medicine, Pediatric MedicinePA

Reviews

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Frequently asked questions

Is KELSEY DAWN PUSKAR (PA-C) listed with a National Provider Identifier?
Yes — KELSEY DAWN PUSKAR (PA-C) has NPI 1104465467 on file in the registry.
Is KELSEY DAWN PUSKAR (PA-C) still an active registrant?
KELSEY DAWN PUSKAR (PA-C) carries an active NPI according to the public dataset.
What clinical focus is listed for KELSEY DAWN PUSKAR (PA-C)?
At a glance, KELSEY DAWN PUSKAR (PA-C) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KELSEY DAWN PUSKAR (PA-C)?
Travel planning: use New Wilmington, Pennsylvania as the reference point for KELSEY DAWN PUSKAR (PA-C), then confirm.
Does KELSEY DAWN PUSKAR (PA-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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