Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Danielle Marie Fata, PA-C

Individual provider Physician Assistant · NPI 1447746631

Danielle Marie Fata, PA-C is a Physician Assistant in Wilkes Barre, Pennsylvania. Qualified in 2018, 8 years ago. Practices with Lehigh Valley Physician Group, a 2,493-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
8
Licensed in
PA
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

675 Baltimore Dr
Wilkes Barre, PA 18702-7900
Phone: (570) 808-5780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 675 Baltimore Dr, Wilkes Barre, PA 18702-7900 — (570) 808-5757

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA059868 (PA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1447746631
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 10, 2018
Last updated in NPPESDecember 29, 2022
Certification dateDecember 29, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Lehigh Valley Physician Group — 2493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Wilkes Barre