Individual provider Active NPI

Bernis Ngwane, CRNP

  • Family Nurse Practitioner
  • Carlisle, PA
National Provider Identifier
1013779057
Registry record updated Jan 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP029179 Issued in PA
Practice address
340 York Rd BLDG B
Carlisle, PA 17013-3180
Phone
(717) 218-3920
NPI assigned
Jan 25, 2024
Last updated
Jan 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP029179 PA Primary

Addresses

Primary practice location

340 York Rd BLDG B
Carlisle, PA 17013-3180

Mailing address

PO Box 858
MC Ca410
Hershey, PA 17033-0858
Phone (800) 243-1455

Other practice location 1

3623 Gettysburg Rd
Camp Hill, PA 17011-6816
Phone (717) 680-6345

Other names 1

  • Bernis Enow Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bngwane@direct.psu.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP029179PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC CurrentSince Jan 29, 2024 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Jan 29, 2024 Accepting new patients

Locations

340 York Rd
Carlisle, PA 17013
Phone (717) 218-3920

340 York Rd
Bldg B
Carlisle, PA 17013
Phone (717) 218-3920

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769817600000",
    "number": "1013779057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 858",
            "address_2": "MC CA410",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170330858",
            "telephone_number": "800-243-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 YORK RD BLDG B",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133180",
            "telephone_number": "717-218-3920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3623 Gettysburg Rd",
            "address_purpose": "LOCATION",
            "city": "Camp Hill",
            "state": "PA",
            "postal_code": "170116816",
            "country_code": "US",
            "telephone_number": "717-680-6345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGWANE",
        "first_name": "BERNIS",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-25",
        "last_updated": "2026-01-31",
        "certification_date": "2026-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP029179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bngwane@direct.psu.edu",
            "affiliation": "N",
            "address_1": "340 York Rd Bldg B",
            "city": "Carlisle",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170133180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BERNIS",
            "last_name": "ENOW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carlisle, PA

Sources for this page

Verify at the official NPI Registry.