Individual provider Active NPI

Dennis B. Macdougall, CRNP

  • Acute Care Nurse Practitioner
  • York, PA
National Provider Identifier
1003918392
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP009092 Issued in PA
Practice address
1855 Powder Mill Rd
York, PA 17402-4723
Phone
(717) 848-4800
Fax
(717) 741-9867
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP009092 PA
Acute Care Nurse Practitioner 363LA2100X 0024165512 VA
Acute Care Nurse Practitioner 363LA2100X SP009092 PA Primary

Addresses

Primary practice location

1855 Powder Mill Rd
York, PA 17402-4723

Mailing address

1861 Powder Mill Road
Attn: Medical Staff Office
York, PA 17402-4723
Phone (717) 718-2041

Other practice location 1

470 Eisenhower Dr
Hanover, PA 17331-5248
Phone (717) 633-0031

Other practice location 2

1665 Roosevelt Ave
York, PA 17408-8549
Phone (717) 848-4800

Other practice location 3

856 Century Dr
Mechanicsburg, PA 17055-4505
Phone (717) 730-7099

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmacdougall@osshealth.medentdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP009092PAMDNurse Practitioner
0024165512VAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of Tidewater Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dmacdougall@osshealth.medentdirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1003918392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 POWDER MILL ROAD",
            "address_2": "ATTN: MEDICAL STAFF OFFICE",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024723",
            "telephone_number": "717-718-2041",
            "fax_number": "717-747-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 POWDER MILL RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024723",
            "telephone_number": "717-848-4800",
            "fax_number": "717-741-9867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "470 Eisenhower Dr",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173315248",
            "country_code": "US",
            "telephone_number": "717-633-0031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1665 Roosevelt Ave",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174088549",
            "country_code": "US",
            "telephone_number": "717-848-4800",
            "fax_number": "717-741-9867",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "856 Century Dr",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170554505",
            "country_code": "US",
            "telephone_number": "717-730-7099",
            "fax_number": "717-741-9867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACDOUGALL",
        "first_name": "DENNIS",
        "middle_name": "B.",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP009092",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024165512",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP009092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmacdougall@osshealth.medentdirect.com",
            "affiliation": "N",
            "address_1": "1665 Roosevelt Ave",
            "city": "York",
            "state": "PA",
            "country_code": "US",
            "postal_code": "174088549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.