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

Nicole Marie McAndrew, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1730413139

Nicole Marie McAndrew, PHYSICIANASSISTANT is a Physician Assistant in Scranton, Pennsylvania. Qualified in 2009, 17 years ago. Practices with Lehigh Valley Physician Group, a 2,493-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
17
Licensed in
PA
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

300 Lackawanna Ave Ste 200
Scranton, PA 18503-2001
Phone: (570) 342-7864
Fax: (570) 800-7513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA054073 (PA)
Physician Assistant Taxonomy 363A00000X · Licence MA054073 (PA)

Record details

NPI number1730413139
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedOctober 1, 2009
Last updated in NPPESJuly 21, 2025
Certification dateJuly 21, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 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 Scranton