Active NPI
Dennis B. Macdougall, CRNP
- Acute Care Nurse Practitioner
- York, PA
National Provider Identifier
1003918392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- SP009092
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SP009092 | PA | MD | Nurse Practitioner |
| 0024165512 | VA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians of Tidewater | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Emergency Medicine Physician
- Norfolk, VA
- NPI 1033136841
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.