Individual provider Active NPI

Linda T Farjo, CRNP

  • Nurse Practitioner
  • York, PA
National Provider Identifier
1023441391
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP013000 Issued in PA
Practice address
25 Monument Rd Ste 190
York, PA 17403-5059
Phone
(717) 851-6454
NPI assigned
Aug 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP013000 PA Primary

Addresses

Primary practice location

25 Monument Rd Ste 190
York, PA 17403-5059

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 851-1700

Other practice location 1

3065 Windsor Rd
Red Lion, PA 17356-8533
Phone (717) 851-1700

Other identifiers 1

IdentifierTypeStateIssuer
3011493OtherPAHIGHMARK BLUE SHIELD-FREEDOM BLUE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131019000202 PA Practitioner - Nurse Practitioner 0345475752 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP013000PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Sep 23, 2013 Accepting new patients
Wellspan Medical Group CurrentSince Sep 23, 2013 Accepting new patients
Wellspan Medical Group Current Accepting new patients

Locations

175 Martin Ave
Ste 320
Ephrata, PA 17522
Phone (717) 721-5800

3065 Windsor Rd
Red Lion, PA 17356
Phone (717) 812-3040

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 190
York, PA 17403
Phone (717) 741-8011

Interoperability endpoints

  • Direct secure messaging: lfarjo19133@wellspan.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1023441391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-851-1700",
            "fax_number": "717-851-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MONUMENT RD STE 190",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174035059",
            "telephone_number": "717-851-6454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3065 Windsor Rd",
            "address_purpose": "LOCATION",
            "city": "Red Lion",
            "state": "PA",
            "postal_code": "173568533",
            "country_code": "US",
            "telephone_number": "717-851-1700",
            "fax_number": "717-851-1710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARJO",
        "first_name": "LINDA",
        "middle_name": "T",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-09",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP013000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD-FREEDOM BLUE",
            "identifier": "3011493",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.