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

Individual provider Physician Assistant · NPI 1700801685

Mark William Vergauwen, PA-C is a Physician Assistant in Lewisburg, Pennsylvania. Qualified in 2000, 26 years ago. Practices with Wellspan Medical Group, a 2,342-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
26
Licensed in
PA
In the registry since
2006
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

1 Hospital Dr
Lewisburg, PA 17837-9350
Phone: (570) 522-4264
Fax: (570) 522-4155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA003550L (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA003550L (PA)

Record details

NPI number1700801685
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 13, 2006
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Wellspan Medical Group — 2342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Lewisburg