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

Genesee Maylee Villalta, PA-C

Individual provider Federally Qualified Health Center (FQHC) · NPI 1851023410

Genesee Maylee Villalta, PA-C is a Physician Assistant in Hershey, Pennsylvania. Qualified in 2022, 4 years ago. Practices as a sole proprietor and works from 3 locations. Licensed in California and Pennsylvania.

Years since qualifying
4
Licensed in
CA, PA
In the registry since
2022
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

500 University Dr
Hershey, PA 17033-2360
Phone: (717) 531-6820
Fax: (717) 531-4702
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1510 Capitola Rd, Santa Cruz, CA 95062-2912 — (831) 427-3500
  • 1665 Dominican Way Ste 224, Santa Cruz, CA 95065-1515 — (415) 476-7988

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA067758 (PA)
Federally Qualified Health Center (FQHC) Taxonomy 261QF0400X
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA61474 (CA)

Record details

NPI number1851023410
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 30, 2022
Last updated in NPPESJune 19, 2026
Certification dateJune 19, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated