Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristen Leigh Douglass, PA-C

Individual provider Physician Assistant · NPI 1982004040

Kristen Leigh Douglass, PA-C is a Physician Assistant in Lewisburg, Pennsylvania. Qualified in 2014, 12 years ago. Practices with Geisinger Clinic, a 3,413-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
12
Licensed in
PA
In the registry since
2014
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

120 Hamm Dr
Lewisburg, PA 17837-7496
Phone: (570) 522-9430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1205 River Ave Fl 1, Williamsport, PA 17701-3724 — (570) 323-5991

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA057102 (PA)
Physician Assistant Taxonomy 363A00000X · Licence OA003416 (PA)

Record details

NPI number1982004040
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 26, 2014
Last updated in NPPESDecember 21, 2020
Certification dateDecember 21, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Geisinger Clinic — 3413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lewisburg