LENA M WITTHOFF (PA-C) – Medical Physician Assistant, NPI 1124741293

LENA M WITTHOFF (PA-C) is a healthcare provider. based in Lebanon, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA063997 (PA). The NPI Number for LENA M WITTHOFF (PA-C) is 1124741293

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
LENA M WITTHOFF (PA-C)
NPI
1124741293
Phone
(717) 270-7688
Address
252 S 4th St
Enumeration Date
22 September 2022
Last Update Date
15 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7177822143
Graduation Year
2022 (4 years ago)
PAC ID
1759757198
Group Practice PAC ID
7618960493
Professional Enrollment ID
I20221026001130
Address ID
PA171101904HA2501XFLOO601
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

Provider Addresses for LENA M WITTHOFF (PA-C)

  • 252 S 4th St

    Lebanon, PA 170426111

    Phone: (717) 270-7688

    Type: Location

  • 521 W 3RD ST

    HUMMELSTOWN, PA 170361306

    Phone: (717) 357-3016

    Type: Mailing

  • 111 S FRONT ST

    HARRISBURG, PA 171012010

    Phone: (717) 782-3131

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-10-26

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
I20221026001130IPhysician 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
99291Critical care, first 30-74 minutes3229$0
36620Insertion of artery tube for blood sampling or infusion through skin2524$0
36556Insertion of non-tunneled central venous tube for infusion (5 years or older)1414$0
View full utilization report →

Insurance plans in this area (ZIP 17042)

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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: 7618960493View full group profile
NameSpecialtyState
Nurse PractitionerPA
Family PracticePA
-PA
Nurse PractitionerPA
-PA
O B S T E T R I C S/ G Y N E C O L O G YIL
O B S T E T R I C S/ G Y N E C O L O G YPA
-TN
Hospitalist, Internal MedicinePA
Internal MedicinePA

Reviews

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Frequently asked questions

What number should I use to identify LENA M WITTHOFF (PA-C) for billing?
Administrative and clinical systems typically use NPI 1124741293 for LENA M WITTHOFF (PA-C).
Does the public listing show LENA M WITTHOFF (PA-C) as active?
LENA M WITTHOFF (PA-C)'s NPI record reflects an active status in NPPES.
How should patients interpret LENA M WITTHOFF (PA-C)'s specialty?
The extract shows Medical Physician Assistant for LENA M WITTHOFF (PA-C). Clinical services aligned with this taxonomy classification.
What geographic area is tied to LENA M WITTHOFF (PA-C)?
LENA M WITTHOFF (PA-C) is associated with Lebanon, Pennsylvania in the same public data insurers reference.
Why is information missing for LENA M WITTHOFF (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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